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KFF Health News' 'What the Health?': Supreme Court Upholds Bans on Gender-Affirming Care

The Supreme Court this week said Tennessee may continue to enforce its law banning most types of gender-affirming care for minors. The ruling is likely to greenlight similar laws in two dozen states. And the Senate is preparing to vote on a budget reconciliation bill that includes even deeper Medicaid cuts than the House version. Victoria Knight of Axios, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more.

Ballad Health’s Hospital Monopoly Underperformed. Then Tennessee Lowered the Bar.

Ballad Health, a state-sanctioned hospital monopoly in Tennessee and Virginia, can now be deemed a “clear and convincing” benefit to the public with performance that would earn a “D” on most grading scales, according to Tennessee state documents.

Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’

Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.

Childhood Vaccination Rates, a Rare Health Bright Spot in Struggling States, Are Slipping

Mississippi, Tennessee, and West Virginia — states with some of the worst health outcomes — also have some of the highest childhood vaccination rates. But doctors and health officials worry a rising tide of vaccine skepticism is causing those public health bright spots to dim.

Six Years Into an Appalachia Hospital Monopoly, Patients Are Fearful and Furious

Ballad Health, with the largest state-sanctioned hospital monopoly in the nation, has failed for years to meet many quality-of-care goals, leaving some patients afraid of their local hospitals but with no other nearby options.