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KFF Health News' 'What the Health?': Trump’s ‘One Big Beautiful Bill’ Lands in Senate. Our 400th Episode!

The House’s gigantic tax-and-spending budget reconciliation bill has landed with a thud in the Senate, where lawmakers are divided in their criticism over whether it increases the deficit too much or cuts Medicaid and the Affordable Care Act too deeply. Meanwhile, the Congressional Budget Office’s estimate that the bill, if enacted, could increase the ranks of the uninsured by nearly 11 million people over a decade won’t make it an easy sell. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Arielle Zionts, who reported and wrote the latest “Bill of the Month” feature, about a Medicaid patient who had an out-of-state emergency.

Trump Decried Crime in America, Then Gutted Funding for Gun Violence Prevention

The U.S. Department of Justice canceled $500 million in grants to public safety organizations nationwide, including some that address gun violence. A clinic in St. Louis lost a $2 million award to develop a mobile clinic, increase mental health services, and engage the community.

Two Patients Faced Chemo. The One Who Survived Demanded a Test To See if It Was Safe.

Worried that President Donald Trump’s FDA might not act, a panel of cancer experts recommended that doctors consider testing before dosing patients with a commonly used but sometimes deadly cancer drug. It came too late for many patients.

Newsom’s Push To Block Law Could Save California Nursing Homes Over $1 Billion

Gov. Gavin Newsom wants to block a state law that requires nursing homes to have 96 hours of backup power in the case of emergencies, potentially giving the industry a break from spending over $1 billion on facility upgrades. Patient advocates say rolling back the nursing home industry requirements for preparedness could jeopardize the safety of residents.

Trump’s ‘One Big Beautiful Bill’ Continues Assault on Obamacare

The domestic policy legislation the House advanced in May includes the most substantial rollback of the Affordable Care Act since President Donald Trump and his Republican allies tried to pass legislation in 2017 that would have largely repealed President Barack Obama’s signature domestic accomplishment.

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.

Trump Administration Is Ending Multiple HIV Vaccine Studies, Scientists and Officials Say

The cuts will shutter two major HIV vaccine research efforts, and a National Institutes of Health senior official said the agency has been instructed not to issue any more HIV vaccine research funding in the next fiscal year, with few exceptions.