Katheryn Houghton

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khoughton@kff.org
@K_Hought

End of Enhanced Obamacare Subsidies Puts Tribal Health Lifeline at Risk

KFF Health News Original

Tribal insurance programs give Native Americans access to affordable health care when the Indian Health Service falls short. Those plans are threatened by the expiration of enhanced Affordable Care Act subsidies.

In Lodge Grass, Montana, a Crow Community Works To Rebuild From Meth’s Destruction

KFF Health News Original

Meth is a problem most everywhere, but particularly in Indian Country. On the Crow Indian Reservation in Montana, new buildings serve as symbols of a town trying to rebuild after being devastated by addiction.

The Nation’s Largest Food Aid Program Is About To See Cuts. Here’s What You Should Know.

KFF Health News Original

The federal government is making sweeping changes to SNAP, the program that helped feed about 42 million people in the U.S. last year. Here’s a breakdown of the changes to come and potential impacts.

She Had a Broken Arm, No Insurance — And a $97,000 Bill

KFF Health News Original

Deborah Buttgereit knew piecing together the broken bone in her elbow would be expensive. But complications the doctor deemed a surprise, midsurgery, drove the total bill tens of thousands of dollars above the original estimate.

New Medicaid Federal Work Requirements Mean Less Leeway for States

KFF Health News Original

More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.

Medicaid: nuevo requisito federal de trabajo deja a estados sin mucho margen de maniobra

KFF Health News Original

Algunos buscan modificaciones específicas a las nuevas normas para cada estado. Otros pretenden implementar los requisitos laborales antes de que la ley federal entre en vigencia a finales de 2026.

Republicans Call Medicaid Rife With Fraudsters. This Man Sees No Choice but To Break the Rules.

KFF Health News Original

Congressional Republicans successfully pushed to add hurdles to qualify for Medicaid by saying they would eliminate waste, fraud, and abuse. This is the story of a Montana man who explains why he said he is breaking the rules to keep his health insurance and his job.

Doulas, Once a Luxury, Are Increasingly Covered by Medicaid — Even in GOP States

KFF Health News Original

Even as states brace for significant reductions in federal Medicaid funding over the next decade, conservative legislatures across the country are passing laws that grant doula access to Medicaid beneficiaries.

Insurers Fight State Laws Restricting Surprise Ambulance Bills

KFF Health News Original

A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag — concerns about raising premiums.

Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.’s Promises of Protection

KFF Health News Original

The Indian Health Service was mostly spared in the federal government’s widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.

Federal Cuts Ripple Through a Bioscience Hub in Rural Montana

KFF Health News Original

The National Institutes of Health’s Rocky Mountain Laboratories in Hamilton, Montana, is one of only a few dozen research facilities of its type. The threat of staffing and grant cuts has town leaders worried and has added to long-standing tension around the lab’s presence in this politically conservative region.

Meet the Florida Group Chipping Away at Public Benefits One State at a Time

KFF Health News Original

The Trump administration’s “Make America Healthy Again” platform has boosted the agenda of a conservative think tank that’s been working for more than a decade to reshape the nation’s public assistance programs.

In a Broken Mental Health System, a Tiny Jail Cell Becomes an Institution of Last Resort

KFF Health News Original

Like local jails nationwide, Montana’s small holding facilities have become institutions of last resort as patients in mental health crisis stall in backlogs, waiting for beds at the state-run mental hospital.

States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs

KFF Health News Original

Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.

Officials Seek To Dismantle Appeals Board for Montanans Denied Public Assistance

KFF Health News Original

The Montana health department says the Board of Public Assistance is redundant and a bureaucratic hurdle that helps few people. Current and former board representatives say the rare cases in which the panel helps people are important.