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Dems go hard on health care affordability

April 30, 2026
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Washington Correspondent, D.C. Diagnosis Writer

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politics

Lower health care costs for everything, everywhere

Senate Minority Leader Chuck Schumer (D-N.Y.) outlined health care policy principles that call for lowering costs for everything, everywhere.

The guidelines focus on making health insurance more affordable, accessible, and easy to use, but the topline priority is “lower costs — period.” The goal is in line with Democrats’ messaging heading into the midterm elections, taking advantage of big cuts to health care in the tax-cut law that Republicans passed last year and rising costs of gas and other everyday needs due to U.S. attacks against Iran.

Schumer’s principles are similar to the plan outlined by a group of Democratic senators to rebuild the health care system. However, that plan, led by Sen. Ron Wyden (Ore.), the top Senate Finance Committee Democrat, focused on making private insurance more affordable and simple.

Schumer’s principles apply to all forms of public and private insurance, and all aspects of health care: premiums, deductibles, copays, prescription drugs, doctor visits, and procedures.

It’s much easier said than done. The plan doesn’t say how Democrats would pay for any of this. Cost containment will be the difficult part, and that means all sectors of the health care system will likely be on high alert.



hospitals

Instead of beating up hospitals, lawmakers fought each other

Four health system CEOs were called to testify Tuesday at the House Ways and Means Committee’s hearing on hospital costs.

The event seemed designed as an industry takedown. There were tough-talking opening statements accompanied by press releases and social media posts. Chair Jason Smith (R-Mo.) warned the executives against trying to blame their high prices on other health care sectors.

They didn’t have to. Lawmakers did that for them, Tara Bannow reports. Instead of focusing on hospitals, the two parties pointed the finger at each other for high health care costs.


Medicaid

Seven

That’s how many states plan to either implement work requirements early or use a more restrictive approach to verifying Medicaid work requirements and exemptions than is required by law, according to a survey of Medicaid directors by KFF.

Arkansas, Idaho, Indiana, and New Hampshire plan to apply longer look-back periods when people apply for or renew Medicaid coverage. Indiana and New Hampshire will also check compliance quarterly, instead of every six months.

Medicare officials have until June to issue a regulation on implementation of work requirements. Nevertheless, three other states — Nebraska, Iowa, and Montana —plan to implement work requirements earlier than the statutorily required Jan. 1 start date. Arkansas says it will do a soft launch in 2026, but will not disenroll anyone until next year.


health equity

Health equity improves, for now

Although health inequities persisted, there were improvements between 2022 and 2024, according to a Commonwealth Fund report. Two states expanded eligibility for Medicaid, many states extended postpartum coverage for mothers, and enrollment in Affordable Care Act marketplace plans increased at an unprecedented clip.

But that progress may be short-lived, according to Anil Oza, after the Trump administration instituted changes to insurance coverage and vaccine policies and made cuts to programs promoting diversity, equity, and inclusion.

“Oh my gosh, it’s about to get so much worse,” said Miranda Yaver, a political scientist at the University of Pittsburgh who published a book on the ways insurance coverage drives inequities.

Read more.


infant formula

Drink up, baby

Infant formula is safe.

So says the FDA after it tested 312 samples from 16 infant formula brands sold in the U.S., according to Sarah Todd. The vast majority had undetectable or very low levels of contaminants like heavy metals, pesticides, and the “forever chemicals” known as PFAS.

That’s reassuring news, but the FDA still does not have formal limits for contaminants in infant formula.

Read more for what food safety experts think the agency should do next.


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What we’re reading

  • Fauci adviser David Morens indicted on charges of concealing emails, avoiding records requests, STAT
  • Supreme Court sides with crisis pregnancy centers in subpoena battle, Politico
  • In first meeting, federal autism committee focuses on ‘profound autism’, STAT
  • A Supreme Court case over pesticides is bringing out the ‘MAHA moms’ — and threats of consequences for the midterms, CNN

Thanks for reading! More next time,


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