Morning Briefing
Summaries of health policy coverage from major news organizations
Supreme Court Hears 'Crucial' Case Today On Free Preventive Health Care
The Supreme Court on Monday is set to hear arguments in a case challenging a provision of the Affordable Care Act that requires private insurers to cover health care screenings, tests and checkups for free. Experts say the court鈥檚 ruling in the case,鈥痗alled Kennedy v. Braidwood Management, could have sweeping consequences for patient access to preventive health care across the United States. (Lovelace Jr., 4/18)
President Donald Trump鈥檚 Justice Department is defending the Affordable Care Act before the Supreme Court 鈥 a notable contrast to his first term, when his administration sought to repeal the law in Congress and then refused to defend it in a major challenge brought by GOP-led states. But a win for the federal government in the current case, concerning the law鈥檚 mandates that certain preventive services are covered cost-free, could boost the power that Health and Human Services Secretary Robert F. Kennedy Jr. has in shaping those requirements. (Sneed, Luhby and Owermohle, 4/20)
In Medicaid and Medicare news 鈥
President Trump on Friday swore in Mehmet Oz as administrator of the Centers for Medicare and Medicaid Services (CMS), granting the former TV host vast influence over the nation鈥檚 largest public health insurance program. At the swearing-in ceremony held in the Oval Office, Trump lauded Oz as an 鈥渋nternationally acclaimed heart and lung surgeon,鈥 quipping 鈥渉ow convenient鈥 it was that Oz attended Harvard University. The Trump administration has been engaged in an escalating back-and-forth with the university over its refusal to heed the White House鈥檚 demands in exchange for federal funding. (Choi, 4/18)
The leaked "pre-decisional" HHS budget for fiscal year 2026 would eliminate some $55 million in discretionary funding for the State Health Insurance Assistance Programs (SHIP), whose counselors help seniors navigate and understand their incredibly complex array of Medicare plan choices. That, of course, does not necessarily mean that federal money for the SHIP program will stop. The 64-page budget document circulating this week dated April 10 is just a draft, and the final budget must be approved by Congress. (Clark, 4/18)
Universal Health Services has a billionaire controlling shareholder and a lucrative Medicaid cash stream. That plays into the hands of congressional Republicans eyeing large budget cuts while looking to show they aren鈥檛 just targeting the poor. The stakes, and downside risks, are enormous for UHS investors. (Weil, 4/20)
Advocates are warning lawmakers that the proposed cuts to Medicare and Medicaid will leave millions of pregnant Black women at a heightened risk of death, worsening the maternal mortality crisis and its racial disparities.聽Last month, the House budget resolution proposed up to $880 billion in cuts to Medicaid over a decade, which would also lead to cuts to Medicare.聽But advocates say Medicaid is a vital resource for cutting into the maternal mortality disparities.聽(Daniels, 4/20)
UnitedHealth Group is treading through a rough 2025 already, potentially signaling broader trouble for health insurers that have already experienced a volatile stretch. UnitedHealth Group, Humana and CVS Health, which all own major health insurance operations, have poured money into growing their historically lucrative Medicare Advantage businesses over decades. But the sector has faced turbulence in recent years as Medicare Advantage members seek more costly care and insurers navigate lower federal reimbursement and tighter regulatory oversight. (Berryman, 4/18)