Sen. Ron Wyden and 14 Democratic co-sponsors plan to introduce legislation Thursday to cap consumers’ potential out-of-pocket costs in traditional Medicare, resurfacing a long-running debate over why the program doesn’t limit beneficiary spending.

Even the bill’s backers say securing passage this year is a long shot. But the effort is one more opportunity for Democrats to highlight voters’ frustration about healthcare costs leading into the November election.

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Tracking Federal Action

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Highlights

The latest KFF Tracking Poll on Health Information and Trust finds roughly three in ten adults report turning to social media (31%) or AI chatbots (29%) at least monthly for health information and advice. The top reasons people report turning to social media for health advice are wanting to hear from those with similar experiences or a desire for quick information. But nearly one in five say they turned to social media due to difficulties accessing or affording care, similar to the shares who cited access and cost as reasons for turning to AI for health information in a previous KFF poll.  

These findings as well as data from dozens of past KFF polls can also be found on KFF’s Health Information and Trust Polling Dashboard.  

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For the second year in a row, Trump administration officials are delaying the distribution of hundreds of millions of dollars in health-related grant funding as political appointees seek to ensure the funding adheres to the administration’s priorities — despite promises to Congress that the money would be spent as directed.

Meanwhile, four years after the Supreme Court overturned the federal right to abortion, nearly half the states have banned or substantially restricted the procedure. But while most voters say they support abortion rights — and majorities in several states have approved ballot measures to enshrine them — that sentiment has not translated into major gains for Democrats running for office.

This week’s panelists are Julie Rovner of KFF Health News, Maya Goldman of Axios, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Rachana Pradhan of KFF Health News.

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Bill Curry, 65, raises cattle on the same land in rural Oklahoma once owned by his father and generations before him. Each quarter, for several years, he has made the 2½-hour drive to Oklahoma City for an epidural in his spine to treat his back pain.

But this year, because of a new Medicare program, Curry has traveled a little more often.

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Tired of watching its employers struggle to afford the cost of healthcare, Republican-controlled Indiana is trying a traditionally liberal tactic to control costs: setting government price controls on hospitals.

Under a law enacted last year, five of Indiana’s largest nonprofit hospital systems cannot charge patients covered by job-based health plans more than an established price cap. Hospitals that fail to keep prices below the threshold by 2029 risk losing their tax-exempt status — which would mean owing millions of dollars in state taxes.

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The cancer diagnosis came as a shock, disrupting Morgan Newman’s plans for launching her life. It was 2015, and she was working as a dental assistant in Des Moines, Iowa, while studying to become a social worker.

After an abnormal result on her Pap smear, her doctor brought her back in to check the tissue for signs of cancer. Newman wasn’t that concerned at first. She was only 24 years old.

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Key Takeaways

• Adults in the U.S. are turning to social media and AI to advise them on health issues. KFF’s latest Tracking Poll on Health Information and Trust finds three in ten adults (31%) using social media at least monthly for health information and advice. This is similar to the share (29%) who now say they use AI tools or chatbots for health information monthly, a number that has nearly doubled in the past two years – up from roughly one in six (17%). Still, majorities say they either “never” or only “occasionally” use AI tools (71%) or social media (69%) for health information.

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Some families have decided the price is too great of a financial burden and canceled their coverage.

SUGAR GROVE, N.C. — Year after year, Ross and Rebecca Tobiassen saw their healthcare costs rise, having relied on the Affordable Care Act for federally subsidized health insurance since its start in 2014. Year after year, the couple in western North Carolina kept their coverage, believing the peace of mind was worth the cost.

But in December, that changed. The Tobiassens decided to cancel their insurance when Rebecca saw the cost of their monthly premiums would jump from $130 to more than $550.

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The 2025 reconciliation law reduced federal Medicaid spending by an estimated $911 billion from 2025 through 2034, some of which stems from new restrictions on Medicaid state directed payments (SDPs) for hospital and other health care services. While states are generally prohibited from directing how managed care organizations (MCOs) pay for care, states can implement SDPs that require MCOs to increase rates or set minimum rates for specified Medicaid services. In authorizing SDPs, the Centers for Medicare and Medicaid Services (CMS) aimed to help states improve access to care and provider participation. Many states that contract with MCOs use SDPs to make uniform rate increases that function like supplemental payments in fee-for-service (FFS) Medicaid. This issue brief analyzes Medicaid spending by state on SDPs that require prior CMS approval to better understand the use of SDPs before new limits in the reconciliation law take effect. A companion issue brief provides more details about the forthcoming changes.

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