Trump Administration's Medicaid Immigration Reviews Uncover Few Undocumented Enrollees After Seven Months

• Health savings account companies, benefiting from Trump's tax bill, formed the Great American Health Alliance (GAHA) dark money group to push for further HSA expansions. • The lobbying effort aims to broaden tax advantages amid growing industry influence in policy debates. • Critics highlight potential risks of prioritizing industry gains over consumer protections in health financing.

• CMS announced the Accelerating State Pediatric Innovation Readiness and Effectiveness Model (ASPIRE), a 10-year voluntary program for up to five states. • ASPIRE targets Medicaid and CHIP enrollees up to age 21 with complex medical and behavioral needs through early identification, care coordination, and quality accountability. • A Notice of Funding Opportunity will be released later this year to solicit state participation.

• The share of Affordable Care Act customers in plans exceeding $6,000 yearly doubled following expiration of Covid-era assistance, signaling household budget pressures. • US Centers for Medicare and Medicaid Services data shows 2026 enrollment fell 5% to 23.1 million, with further drops expected from premium non-payers. • This cost surge underscores ongoing affordability challenges in the Obamacare marketplace post-subsidy end.

• A March 31, 2026, Bioethics Public Policy Report states 14,446 Americans have died by physician-assisted suicide since 1997, with Aging with Dignity estimating the actual number is higher due to underreporting. • The report provides state-by-state analysis of assisted dying trends and policies. • Findings underscore ongoing debates in end-of-life care and public policy.

• The Guttmacher Institute released a report showing U.S. abortion rates have remained largely steady despite strict bans in 13 states. • Travel for abortions has declined as telehealth access increases, with data scientist Isaac Maddow-Zimet noting, 'It makes sense that we'd see a decline in travel for abortion.' • The findings highlight shifts in care delivery amid policy changes, impacting access in states like Illinois, Maryland, and New York.

• County Health Rankings & Roadmaps (CHR&R) refreshed data in March 2026 for 34 measures covering physical/mental health, clinical care, housing, and more, including poor or fair health, preventable hospital stays, and uninsured rates. • No typical annual data release will occur in 2026; users access updates via 2025 county/state snapshots, with the website active through December 2026. • A webinar on March 31, 2026, explains changes and supports community health efforts.

• Two House Democrats introduced a bill mandating nursing home staffing levels exceeding even the failed federal regulations. • The legislation responds to ongoing concerns over care quality and resident safety in U.S. facilities. • It aims to enforce higher minimum staff-to-resident ratios nationwide.

• Julie B. Samora, MD, PhD, MPH, FAAOS, has become chair of the AAOS Board of Directors. • Announcement coincides with planned site maintenance on AAOS.org on March 31, 2026, from 8:00-9:00 AM CST. • Her leadership focuses on advancing orthopaedic care and policy in the U.S.

• Advocate Health will launch the country's largest hospital-based drone delivery network, beginning in Charlotte, NC, using Zipline drones to deliver prescriptions, lab specimens, and medical supplies across three of its markets. • The system is projected to conduct approximately 100,000 deliveries per year, significantly expanding healthcare logistics and supply chain capabilities within hospital systems. • This initiative represents a major technological advancement in hospital operations and marks a shift toward automated delivery infrastructure in American healthcare systems.

• The SPIRIT-HF study, presented at ACC.26 in New Orleans (March 28-30, 2026), found that spironolactone increased hospitalizations and serious adverse events in patients with HFpEF (heart failure with preserved ejection fraction) or HFmrEF (mildly reduced ejection fraction). • Results raise significant safety questions about the drug's efficacy in these patient populations, potentially challenging current treatment protocols. • The findings were presented to cardiologists and cardiovascular specialists at the American College of Cardiology's annual conference, the largest gathering of heart disease specialists.

• Trump's One Big Beautiful Bill Act has darkened the outlook for approximately 17,000 federally-funded health clinics across the United States, which collectively stand to lose $32 billion in government support. • The policy represents a significant threat to community health infrastructure that serves vulnerable populations, though specific implementation details and timeline remain under review. • Federal health clinics provide essential services including primary care, preventive services, and treatment for underinsured and uninsured Americans in underserved communities.