Birth centers are unavailable in 10 states, and 39% of birth center births are self-pay, as licensing and Medicaid pay limit access, a report finds.
News|Articles|January 9, 2026
5 Key Health Care Changes During Trump’s First Year Back in Office
Author(s)Laura Joszt, MA
Fact checked by: Christina Mattina
President Donald J. Trump's health care overhaul during the first year of his second term reshapes Medicaid, vaccine policies, and drug pricing.
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In 2025, the Trump administration launched a sweeping overhaul of the American health care landscape, marked by the enactment of the landmark One Big Beautiful Bill and a series of transformative executive actions. From the codification of stringent federal Medicaid work requirements to a radical restructuring of the national vaccine schedule under HHS Secretary Robert F. Kennedy Jr, these shifts represent a fundamental departure from the previous administration’s focus on entitlement and expanded coverage.
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