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Senators Accuse Trump Admin of Hiding Info on 'Biggest Premium Hike in History'
"Millions of Americans who buy their own insurance on Healthcare.gov are unaware of the catastrophic premium hikes barreling towards them," the senators warned.
Oct 27, 2025
More than half of the Democratic Party caucus in the US Senate on Monday accused the Trump administration of covering up massive planned premium increases that are going to hit Americans who buy their health insurance through Affordable Care Act exchanges.
In a letter to Centers for Medicare and Medicaid Services (CMS) administrator Mehmet Oz, the senators charged that his agency has "failed to open early window-shopping" the week before the start of open enrollment, which they said has left "millions of Americans who buy their own insurance on Healthcare.gov... unaware of the catastrophic premium hikes barreling towards them."
The senators emphasized that the early window-shopping period is crucial because "the 24 million people who buy insurance on the ACA Marketplace need as much time and information as possible to understand and prepare for these significant premium increases."
The letter also argued that CMS has reduced enrollees' ability to access this crucial information by issuing guidance last summer that "allowed insurance companies to omit premium numbers and tax credit information from the notices they are required to send to enrollees ahead of open enrollment," while also "allowing insurance plans to delay sending information to their enrollees."
As a result of this, the letter continued, "millions of Americans have still not received any information from their insurance plan, or from CMS, about the biggest premium hike in history."
The senators' letter concluded with a demand for CMS to "launch window-shopping immediately and deliver the transparency American families deserve ahead of open enrollment on November 1."
The fight over health insurance premiums is at the heart of the current shutdown of the federal government, as Democrats say they will not vote to fund the government without an extension of enhanced ACA tax credits that were first passed into law under the American Rescue Plan in 2021.
The Washington Post last week reported on leaked documents showing that the most popular healthcare plans purchased on the ACA exchanges are expected to see a 30% hike next year, which would mark the "largest annual premium increases by far in recent years."
Were the enhanced tax credits for these plans allowed to expire, the Post added, this would likely result in millions of Americans seeing their insurance premiums double or triple next year.
The expiring subsidies aren’t the only threat to Americans’ healthcare, as Republicans over the summer passed a massive budget law that cut spending on Medicaid by nearly $1 trillion over the next decade, which the Congressional Budget Office estimated would result in more than 10 million people, among the nation’s poorest, losing their coverage. Congressional Democrats have also demanded undoing some Medicaid cuts in government shutdown negotiations.
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Report Highlights Threat Posed by 'Trump Health Cabal'
"Trump has nominated unqualified and dangerous people to serve in the most important health positions in the country," said Eagan Kemp, the author of the report for the consumer advocacy group Public Citizen.
Jul 30, 2025
The government watchdog group Public Citizen published a report on Tuesday warning that U.S. President Donald Trump's "dangerous health cabal threatens patients, providers, and the programs they rely on."
The report, written by healthcare policy advocate Eagan Kemp, takes aim at several of Trump's appointees to top healthcare posts. Among those highlighted are Secretary of Health and Human Services (HHS) Robert F. Kennedy Jr., Centers for Medicare and Medicaid Services (CMS) head Mehmet Oz, Deputy HHS Secretary Jim O'Neill, and surgeon general nominee Casey Means.
"The first few months of the Trump administration have brought chaos and disaster to an already fragmented and dysfunctional health care system," the report says. "From efforts to make massive cuts to the ACA and Medicare and layoffs of huge numbers of HHS staff across the agency, it is tough to keep up with all the damage being done."
Kennedy, the report says, has aggressively promoted "conspiracy theories and dangerous anti-science views" during his time as HHS secretary.
The report notes Kennedy's fear-mongering about the safety of the highly effective measles vaccine as the U.S. experienced the largest outbreak in recent years, and his purge of credentialed independent experts from the panel that makes national vaccine recommendations in favor of a clique of anti-vaccine activists.
The report also points to Kennedy's decision to de-emphasize research into infectious disease and prescription drugs and his mass firings at other agencies within HHS, including the Food and Drug Administration (FDA) and the National Institutes of Health (NIH).
"With Kennedy taking command of the HHS, Americans are presented lies and disinformation at an unprecedented scale that are capable of unwinding a century of progress on fighting disease and promoting public health," it says.
The report also highlights Oz's efforts to further privatize Medicare by championing Medicare Advantage, which it says "would leave more Americans at the whim of greedy health insurance corporations." It cites one study, which found that since 2007, overpayments to private Medicare providers added up to more than $600 billion, and could amount to another trillion over the next decade.
Additionally, the report cites findings from the Government Accountability Office (GAO) that patients with significant healthcare needs were more likely to drop Medicare Advantage in favor of returning to traditional Medicare, which it says "indicates that these patients were unable to receive necessary care" under the privatized program.
It describes Oz's "massive conflicts of interest," including his six-figure investments in Medicare Advantage providers like UnitedHealth and CVS Health.
"Medicare Advantage plans regularly deny needed care, making it difficult for low-resource hospitals to remain open to serve the public," the report says."If Oz gets his wish of further expanding Medicare Advantage, it will threaten the solvency of many hospitals, particularly rural hospitals currently at risk of closure, as they would struggle to keep their doors open because they wouldn't have the consistent funding they need to continue serving their communities."
O'Neill, who was appointed last month as Kennedy's deputy at HHS, is described as "a long-time venture capital investor with concerning views that reflect his significant financial ties to for-profit biomedical companies," adding that "his interests run counter to [HHS's] public health mandate."
The report notes O'Neill—a staunch libertarian—is opposed to FDA regulations to ensure the safety and efficacy of drugs, which he said "kill a lot of people and provide a lot of harm to the economy."
He has called to eliminate the agency's mandate to ensure that drugs are effective before they are approved for sale. In a 2014 speech to a biotech group, O'Neill said the FDA should "let people start using them, at their own risk."
As an official in the George W. Bush administration's HHS, he also opposed FDA regulations on diagnostic tests that rely on computer algorithms—an even more pressing issue today given the increasing ubiquity of artificial intelligence, including in healthcare.
"While he has a limited public record of comments on health issues broadly," the report says, "his dangerous and misinformed views about the workings of the FDA provide deep cause for concern that he will prioritize ideological and corporate profit considerations over the public health mandate of the department."
Means, Trump's pick for surgeon general—who would be the top authority on public health recommendations—is described as having "little to no managerial experience in the context of government agencies or scientific research."
She does not have an active medical license, and dropped out of her surgical residency. According to colleagues, she did so after coming to believe "that modern medicine is a conspiracy to keep people sick."
A "wellness influencer" in the mold of Kennedy, she has a history of anti-vaccine views and has advocated for getting rid of the Hepatitis B vaccination for babies, which is credited with reducing HBV infection by 68% over a decade after its introduction in 1991. Means has also said that birth control pills are overprescribed, and that they signal a "disrespect of life."
She also stands to potentially profit from her decisions as surgeon general, the report says, since she remains the chief medical officer of a glucose monitoring technology company and has not stepped down from her post despite the possible conflicts of interest.
"The range of unscientific ideas, wellness products, and conspiratorial claims that Means is associated with," the report says, "makes her a potentially dangerous person to serve in a role that requires being a credible health communicator for the country and upholding sound science."
The state of healthcare in the United States, the report says, is about to become more precarious following the passage of the "One Big Beautiful Bill Act," which is projected to result in 10 million people losing their health insurance. Medicare privatization has also accelerated, with hiked rates for Medicare Advantage plans.
"The fact that Trump, Kennedy, and their allies have taken so many dangerous and misguided actions on health in just the early months of the new administration," the report says, "highlights the need for vigilance and strong pushback from anyone who wants a better healthcare system."
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'Terrible Development': Trump Admin Restricts State Efforts to Help Kids Stay on Medicaid
"The Trump administration will stop at nothing to rip coverage away from American families, even kids they claim they want to protect," said Sen. Ron Wyden.
Jul 18, 2025
The Trump administration on Thursday said it will restrict waivers that have allowed states to keep kids enrolled in Medicaid or the Children's Health Insurance Program beyond the 12-month period of continuous coverage required under federal law.
The Centers for Medicare and Medicaid Services (CMS), led by Mehmet Oz, announced the move on Thursday, saying that it has informed states of a "clear shift away from policies that extend beyond statutory limits," specifically restricting Section 1115 waivers that have been sought and approved in dozens of states across the U.S.
"CMS will allow currently approved initiatives to run out their course but does not anticipate extending them nor approving new waivers," the agency said in a statement, which came less than two weeks after President Donald Trump signed into law the largest Medicaid cuts in U.S. history.
Sen. Ron Wyden (D-Ore.), the top Democrat on the Senate Finance Committee, called the CMS announcement a "terrible development" and "yet one more awful example of the Trump administration's obsession with making it as hard as possible for Americans to access the healthcare they are eligible for."
In 2022, Oregon became the first state in the nation to receive federal approval to provide children with continuous Medicaid coverage from birth up to age 6 through a Section 1115 waiver. The policy was described as a "ground-breaking initiative" that would "help infants and young children get off to a healthy start in life without parents having to worry about renewing their Medicaid coverage annually," regardless of temporary changes to family income or other factors.
The CMS announcement points to the Oregon policy without explicitly naming the state. Oregon's federal waiver is set to expire in 2027.
Wyden said Thursday that "the Trump administration will stop at nothing to rip coverage away from American families, even kids they claim they want to protect."
Joan Alker, executive director of Georgetown University's Center for Children and Families, wrote that "in the name of 'protecting vulnerable Americans,' the Trump administration will rip away Medicaid coverage from babies and toddlers."
👀In the name of “protecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlers👀
CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps will no longer be allowed pic.twitter.com/aXF0mKXL9S
— Joan Alker (@JoanAlker1) July 17, 2025
CMS insisted that the newly announced changes are aimed at protecting Medicaid's finances by ensuring that those who are no longer eligible for the program are removed.
But Amaya Diana, a policy analyst at the health research organization KFF, wrote Thursday that "not everyone who loses coverage at renewal is no longer eligible."
"During the unwinding of the [pandemic-era] Medicaid continuous enrollment provision, seven in 10 Medicaid enrollees who lost coverage were disenrolled for procedural reasons," Diana noted. "While some were no longer eligible, others lost coverage due to barriers such as communication issues."
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