Healthcare is changing in South Florida, driven by insurance, access and price shocks.
In South Florida, increased Obamacare plan premiums might force patients to reconsider their insurance options, affecting medication affordability and healthcare access. Elsewhere, people are feeling the financial impact of unexpected medical procedures without insurance.
Catch up on those and other health access issues below.
An estimated 4 million Americans will lose health insurance over the next decade if Congress
doesn’t extend enhanced subsidies for Affordable Care Act marketplace coverage, which expire at the
end of the year. Florida and Texas would see the biggest losses, in part because they have not expanded
Medicaid eligibility.
NO. 1: THE PRICE YOU PAY FOR AN OBAMACARE PLAN COULD SURGE NEXT YEAR IN FLORIDA
Florida and Texas would see the biggest impact, in part because they have not expanded Medicaid eligibility. | Published June 17, 2025 | Read Full Story by Daniel Chang
People shopping for a plan may need advice.
NO. 2: HOW DO YOU FIND HEALTH INSURANCE WHEN YOU’RE TURNING 26? HERE’S SOME ADVICE
Rachel Nassif, day center director at the PACE Organization of Rhode Island, with program participant Roberta Rabinovitz. Rabinovitz goes to the center, in East Providence, for all her medical care, and an occasional lunch. PACE also set her up with a studio apartment in an assisted living facility in Bristol. By Felice J. Freyer
NO. 3: HEALTH GROUPS AIM TO COUNTER GROWING ‘NATIONAL SCANDAL’ OF ELDER HOMELESSNESS
Deborah Buttgereit poses near her daughter’s home in Hampton, Virginia. Buttgereit struggled to afford health coverage after her husband’s death and was uninsured when she slipped on some ice in Montana and broke her arm. The surgery bill was nearly $98,000, well above the initial estimate the hospital provided. By Parker Michels-Boyce
NO. 4: SHE HAD A BROKEN ARM, NO INSURANCE — AND A $98,000 BILL. SEE WHAT HAPPENED NEXT
As soon as she fell, Deborah Buttgereit knew she couldn’t avoid going to the hospital. | Published September 25, 2025 | Read Full Story by Katheryn Houghton
The survey looked at nearly 3,000 Americans aged 50 and older and found that only a minority — fewer than 18% of participants over 65 — saw themselves as having a disability.
NO. 5: WHEELCHAIR? HEARING AIDS? YES. BUT DON’T CALL THESE OLDER PEOPLE DISABLED
In her house in Ypsilanti, Michigan, Barbara Meade said “there are walkers and wheelchairs and oxygen and cannulas all over the place.”
Meade, 82, has chronic obstructive pulmonary disease, so a portable oxygen tank accompanies her everywhere. | Published December 15, 2025 | Read Full Story by Paula Span
The summary above was drafted with the help of AI tools and edited by journalists in our News division. All stories listed were reported, written and edited by McClatchy journalists.
Rep. Marjorie Taylor Greene of Georgia, a once-loyal supporter of President Donald Trump who has become a critic, said Friday she is resigning from Congress in January.Greene, in a more than 10-minute video posted online, explained her decision and said she’s “always been despised in Washington, D.C., and just never fit in.”Greene’s resignation followed a public fallout with Trump in recent months, as the congresswoman criticized him for his stance on files related to Jeffrey Epstein, along with foreign policy and health care.Trump branded her a “traitor” and “wacky” and said he would endorse a challenger against her when she ran for reelection next year.Greene had been closely tied to the Republican president since she launched her political career in 2020.In her video, she underscored her longtime loyalty to Trump except on a few issues, and said it was “unfair and wrong” that he attacked her for disagreeing.”Loyalty should be a two-way street and we should be able to vote our conscience and represent our district’s interest, because our job title is literally ‘representative,’” she said.Greene swept to office at the forefront of Trump’s “Make America Great Again” movement and swiftly became a lightning rod on Capitol Hill for her often beyond-mainstream views.As she embraced the QAnon conspiracy theory and appeared with white supremacists, Greene was opposed by party leaders but welcomed by Trump. He called her “a real WINNER!”Yet over time she proved a deft legislator, having aligned herself with then-GOP leader Kevin McCarthy, who would go on to become House speaker. She was a trusted voice on the right flank, until McCarthy was ousted in 2023.
Rep. Marjorie Taylor Greene of Georgia, a once-loyal supporter of President Donald Trump who has become a critic, said Friday she is resigning from Congress in January.
Greene, in a more than 10-minute video posted online, explained her decision and said she’s “always been despised in Washington, D.C., and just never fit in.”
Greene’s resignation followed a public fallout with Trump in recent months, as the congresswoman criticized him for his stance on files related to Jeffrey Epstein, along with foreign policy and health care.
Trump branded her a “traitor” and “wacky” and said he would endorse a challenger against her when she ran for reelection next year.
Greene had been closely tied to the Republican president since she launched her political career in 2020.
In her video, she underscored her longtime loyalty to Trump except on a few issues, and said it was “unfair and wrong” that he attacked her for disagreeing.
“Loyalty should be a two-way street and we should be able to vote our conscience and represent our district’s interest, because our job title is literally ‘representative,’” she said.
Greene swept to office at the forefront of Trump’s “Make America Great Again” movement and swiftly became a lightning rod on Capitol Hill for her often beyond-mainstream views.
As she embraced the QAnon conspiracy theory and appeared with white supremacists, Greene was opposed by party leaders but welcomed by Trump. He called her “a real WINNER!”
Yet over time she proved a deft legislator, having aligned herself with then-GOP leader Kevin McCarthy, who would go on to become House speaker. She was a trusted voice on the right flank, until McCarthy was ousted in 2023.
The longest government shutdown in U.S. history is finally over after President Donald Trump signed a stopgap spending bill narrowly approved by the House last week, but your employees’ healthcare is still in trouble.
Tax credits that give entrepreneurs and their employees — and even solopreneurs — access to affordable healthcare through the ACA marketplace are set to expire at the end of this year. A study by the Kaiser Family Foundation estimates costs will soar by 26 percent — a combination of the projected loss of federal subsidies and the general increase of healthcare costs.
Democrats, and even some Republicans, are working to extend the benefit before rates skyrocket in January, but the House won’t vote on it until mid-December. Open enrollment began on Nov. 1 and ends in mid- to late January, depending on the state. The timing is less than ideal, but states are reassuring consumers that the plans they choose now are not “final.” They’ll have the option to change plans once the House votes in December. Anyone who doesn’t want to pay higher rates or choose a plan with less coverage has the option to wait until January to sign up for a new plan, but that means their insurance won’t kick in until February, Politico reported.
“We are hearing folks who simply cannot believe what they are looking at,” said Audrey Gasteier, executive director of the Massachusetts Health Connector, told the publication. “Folks who have surgery scheduled in the new year [say those plans are] in question now because they are not sure if they can stay covered.”
If the subsidies are approved without changes, ACA plans will be updated with the new rates. However, things could get complicated if Republicans successfully impose income caps and “fraud guardrails” on people’s eligibility for the subsidy. President Donald Trump has also floated the idea of issuing the subsidies as a “direct payment” to consumers, bypassing the insurers — a move policy experts told Politico would “lead to the collapse of the exchanges.”
Some state exchanges now require insurers to generate two rates — with and without the subsidies — to show consumers what they could be paying. These states say they’re working to get pricing information out to consumers as soon as possible.
“State marketplaces will all do whatever needs to be done to get those tax credits out to our consumers,” Michele Eberle, executive director of Maryland Health Benefit Exchange, told Politico. “We are ready to do it and poised to do it. We will make it happen.”
Among the workplace benefits employees say they appreciate most are flexible work arrangements, paid time off, 401(k) retirement accounts, career development programs, and of course company health insurance plans. But now, many businesses are scaling back or ending an increasingly popular benefit within their wider healthcare coverage – paying for workers’ use of glucagon-like peptide-1 (GLP-1) medication for weight loss.
Initially developed to treat diabetes by regulating blood sugar levels, GLP-1 medication has become increasingly popular for losing weight. Recent surveys found that 60 percent of people taking Ozempic, Wegovy, Mounjaro, Saxenda, and other versions of the drug did so primarily for weight loss. But that surging demand has led pharmaceutical manufactures to repeatedly hike their prices for GPL-1s, which has spiked the costs of employer coverage of the drugs. As a result, many businesses are now having to rethink the terms of including those medications in their plans, or remove them entirely.
Most businesses had already had to adjust to the average 6 percent rise in their employee health insurance premiums this year, with many facing double-digit rises in 2026. At the same time, a recent joint study by nonprofits Peterson Center on Healthcare and KFF determined employee use of GLP-1s has been far higher than anyone had anticipated — mostly due to the drug’s growing use for weight loss. Those factors are adding to the financial pinch for employer health plans and forcing them to respond.
According to the Peterson-KFF survey, 19 percent of all employers with 200 employees or more cover GLP-1 use for losing weight in their health plans. But that rises to 30 percent among companies with 1,000-5,000 workers, and 43 percent for even bigger firms. Those latter figures represent a roughly 28 increase in coverage of the drug compared to 2024.
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Not surprisingly, nearly a quarter of all employers said staff use GLP-1 drugs for weight loss was higher than they expected, with that number rising to nearly 60 percent at larger businesses. That led nearly a third of respondents to report those medications had “significantly impacted their prescription drug spending,” rising to 66 percent at companies with 5,000 workers or more.
“Before we knew it, we spent half a million dollars and were projected to go up to $1.2 million the following year,” a benefits manager with a retailing company said in anonymous comments to the Peterson-KFF survey about GLP-1 costs.
Many employers are responding to both rising premiums and higher medication costs by passing on some of the increases to employees, and inching up co-pays workers have to finance. But that probably won’t be enough to offset the surging costs of GLP-1s. As a result, most companies are revising the way their plans cover the medication.
Many businesses are limiting GLP-1 exclusively for diabetes treatment — with some requiring company health officials to approve that use beforehand. But because taking the medication has become so popular for weight loss, other employers don’t feel they can cut employees off from it.
On the one hand, by covering the drug under company health plans, some employers have found GLP-1s have become a de facto benefit capable of attracting new recruits, while also helping to retain existing workers. Meantime, a lot of businesses have calculated that as expensive as the medication is, its effectiveness in helping weight loss has led to reduced costs related to employee cardiovascular diseases and other conditions attributed to obesity.
Still, employers facing rising prices of the drug are having to stem its spreading use. In some cases, companies have decided to continue covering GLP-1s for weight loss, but only by employees above new body mass index (BMI) thresholds. Others additional measures include creating lifestyle and nutrition programs to make sure workers using the medication stay slimmer once they stop taking the medication.
“(W)e put in the requirement that you have type 2 diabetes for certain GLP-1s, and then we put in a BMI of 35 or higher for the weight loss GLP-1s,” a HR official with a manufacturing company said in survey comments, noting some employees had been “grandfathered in” for continued use while others will need to qualify for it in the future. “We are trying to decide how to manage this crazy cost of the GLP-1s.”
What’s behind that determination to keep covering GLP-1s?
It comes partly from employers’ desire to safeguard employees’ health while sparing them much of the costs of doing that. At the same time, a lot of managers already recognize GLP-1 medications are likely to become ever bigger factors in healthcare coverage. That’s growing increasingly likely with the number of diseases the drug has been shown to improve continuing to multiply over time.
As a result, even health insurance companies providing employee health coverage to business owners have warned that GLP-1 isn’t going away any time soon — whether the drugs are used for treating diabetes, losing weight, or addressing other conditions.
“Our insurance provider, Cigna told us that within the next nine to 12 months, there’s really not going to be a choice,” said a health manager with a manufacturing company in the survey comments. “(A)ll insurance companies are probably going to be covering GLP-1s for weight loss.”
And as a result, many employers are resolving themselves to do likewise — though they’re starting so set somelimits.
At one point in 1991’s Silence of the Lambs, Hannibal Lecter (played by Anthony Hopkins) tells detective Clarice Starling (Jodie Foster) that “there are three major centers for transsexual surgery: Johns Hopkins, University of Minnesota, and Columbus Medical Center.”
In recognition of National Diabetes Month, the Orange County Medical Clinic will offer free health screenings to county residents this week, beginning Wednesday through Friday afternoon.
The county medical clinic, a public facility located just west of downtown Orlando at 101 S. Westmoreland Drive, will accept patients for screenings on a first-come, first-served basis. No health insurance is required, and all members of the public are welcome, a county spokesperson confirmed.
Staff at the medical clinic will be able to screen for factors related to diabetes, such as blood pressure, cholesterol, blood sugar and body mass index (BMI) upon request.
According to the Centers for Disease Control and Prevention (CDC), more than 38 million Americans currently live with diabetes, and roughly 1.2 million Americans receive a new diagnosis of the chronic condition every year. Diabetes is a condition marked by high blood sugar, or hyperglycemia, and can be diagnosed at any age (although Type 1 is more commonly diagnosed in children and young adults, while Type 2 is more commonly diagnosed in adults over age 40).
Diabetes can lead to severe and potentially life-threatening health complications, including heart disease and kidney failure. As of 2023, diabetes is the seventh leading cause of death nationwide.
On Wednesday, screenings will be offered at the Orange County Medical Clinic from 2 p.m. to 6 p.m. On Thursday, they will be offered from 2 p.m. to 4 p.m., and on Friday, screenings will be available from 9 a.m. to 11 a.m. and 1 p.m. to 4 p.m.
Health screenings will be provided outside the clinic in a mobile medical unit operated by the County Outreach Awareness Community Health team. The COACH program was launched by the county in 2024 to provide healthcare resources to underserved populations at no cost. According to KFF, Florida has one of the highest uninsured rates in the U.S., with about 13 percent of Floridians lacking any kind of healthcare coverage altogether.
The population of people without health insurance — or the ability to afford healthcare — is expected to grow by 4 to 5 million nationwide next year if Congress allows tax credits applied to Affordable Care Act health plans to expire. Those tax credits, enacted in 2021 under the Biden administration, have helped make healthcare more affordable through the ACA Healthcare Marketplace for roughly 22 million Americans. They’ve been a central issue perpetuating the federal government shutdown that began Oct. 1, due to disagreement between Democrats and Republicans on their extension.
According to U.S. Congressman Maxwell Frost (D-FL), nearly 200,000 people in his Orlando district alone could face hikes to their healthcare premiums if the tax credits expire.
“Families are opening their renewal letters and facing sticker shock of seeing their premiums for healthcare go up anywhere from 50 to 300 percent,” Frost said at a press conference last week, sharing anecdotes that he has received from constituents. “People are being forced to make impossible choices. Do I pay for my health care, or do I not have health care? Do I have enough money to pay for my rent, for my food?”
One person who’s at risk for losing his healthcare coverage (or at the very least, paying a heck of a lot more) is Nathan Boye, a husband and father of three with diabetes. Boye, who lives in Frost’s district, currently pays $28 a month for his healthcare plan through the ACA Marketplace. If the healthcare subsidies expire, however, he says the same health plan he currently has could cost him upward of $700 a month, according to a letter he received from his insurance provider.
“We deserve a system where staying healthy is not a luxury, but one that we can all enjoy,” Boye argued, standing beside Frost last week. “I’m going to be forced to make impossible choices that, you know, I mean, essentially means that I could survive another day. No family should have to face that.”
The U.S. Senate reached a controversial deal Sunday, approved Monday in a 60-40 vote, that would end the government shutdown, but does not include any guarantees on extending the ACA tax credits. Most of the Senate Democrats opposed it — due to its failure to deliver their key demand — save for eight lawmakers (seven Democrats and one independent) who defected and joined Republicans in approval. Congressman Frost has said he’s personally opposed to it.
“Unacceptable,” he described it, in a post published to X on Sunday. “I won’t do that to the people I represent. I’m a NO on this ‘deal.’”
NEW BRUNSWICK, N.J., November 6, 2025 (Newswire.com)
– E&I Cooperative Services (E&I), the only member-owned, nonprofit sourcing cooperative focused exclusively on education, has awarded a competitively solicited contract to Cenmed Enterprises for Medical-Surgical Products, Pharmaceuticals, Vaccines, Sports Medicine/Athletics Products, and Related Services (Contract CR001455), eandi.cenmed.com.
Effective September 1, 2025 through August 31, 2029, the agreement gives E&I’s education and healthcare members streamlined access to Cenmed’s catalog of 2M+ high-quality, regulatory-compliant products, along with specialized supply chain and equipment management services.
What Members Gain
Comprehensive product access for research labs, clinical services, and athletic departments, including medical-surgical consumables, laboratory equipment, vaccines, pharmaceuticals, and sports medicine products
Tailored services such as vendor-managed inventory, custom kitting, logistics support, and Equipment Maintenance Management Solutions (EMMS).
Cost savings and efficiency through competitively awarded, pre-negotiated pricing and free shipping on qualifying orders.
Supplier diversity impact via Cenmed’s national MBE certification (NMSDC), enabling Tier 1 diverse-spend reporting.
Sustainability alignment supported by Cenmed’s Bronze EcoVadis rating and solar-powered facilities.
“Our new contract with Cenmed is a powerful addition to E&I’s portfolio, combining broad product access with specialized services and a proven commitment to members who want premium providers that go beyond transactions,” said Eric Frank, CEO of E&I Cooperative Services. “Cenmed’s dedicated team offers hands-on guidance, responsive communication, and personalized support at every step to ensure members receive exactly what they need, when they need it.”
“Cenmed is proud to partner with E&I to support its 6,200+ member institutions,” said Rizwan Chaudhry, CEO of Cenmed Enterprises. “For over 30 years, we’ve focused on reliable supply, service, and value. This contract advances that mission by simplifying procurement and logistics for education, research, and healthcare. “We’re proud to join E&I’s portfolio to deliver not only comprehensive access to high-quality laboratory and healthcare products but also the personalized support our academic partners deserve. We understand that every institution’s needs are unique and our team is committed to providing hands-on guidance, proactive communication, and tailored solutions to help members achieve their goals with confidence.”
Availability: The contract is immediately available to all E&I members. Members can enroll and access pricing through the E&I website.
About Cenmed Enterprises
Cenmed Enterprises is a premier provider of medical and laboratory solutions, distribution, and manufacturing, serving healthcare, life sciences, research, and government for over 30 years. Based in New Jersey, Cenmed offers 2M+ products including PPE, diagnostics, lab consumables, chemicals, and custom medical kits delivers tailored, compliant solutions. Cenmed is a nationally certified supplier focused on value, delivery and ecological sustainability. Learn more at www.cenmed.com.
As many workers note while checking changes in their company-provided health care plans during the open enrollment period that began November 1, U.S. employers have worked to provide their staffs with the most affordable medical insurance coverage possible. But a growing number of businesses are going even further by establishing on-site clinics, or partnering with nearby care providers. That has allowed them to slash the time and money employees must invest in seeking professional care, and considerably reduced their overall costs of keeping their workforces healthy.
The moves by manybusinesses to provide health care services within the workplace, or by partnering with neighboring clinics, was the focus of a Washington Post report this week. That effort goes beyond offering typical medical insurance coverage — whose costs to employers rose 6 percent this year, and are expected increase by double digits in 2026. Instead, companies took the considerable extra step of bringing health care providers into direct proximity to their employees. That nearness and convenience allows workers who may otherwise avoid doctor visits because they take too much time, are difficult to set up, or are prohibitively expensive to quickly schedule consultations when they need one.
That usually involves third-party companies setting up clinics within customers’ workplaces, or establishing facilities nearby that cater primarily to their employees. The effort permits employers to provide care to workers at lower costs, and without the habitually long appointment waits and travel times of seeing outside physicians. Meanwhile, clinicians primarily dedicated to employees can give them more time and attention than most doctors can spare.
“They offer a combination of low- or no-cost in-person and virtual care… (with) the convenience of same-day appointments, on-site labs, and consistent relationships with their providers,” the Post said of workplace clinics. “It’s a benefit strategy that is gaining traction across all industries, to attract and keep talent, and to address common U.S. health care woes — long wait times, short appointments, unnecessary and expensive ER visits — that can lead to less healthy employees and weigh on the bottom line.”
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Why would an employer assume the heavy lifting of establishing a workplace health care center for employees? Because most that have done so report big dividends in the form of lower overall costs and healthier workers.
According to a study by the Business Group on Health professional association, 48 percent of its member companies said they offered on-site health care. About half of those respondents estimated the rate of return on their clinic investments at 200 percent, with a quarter of participants putting that payoff at 300 percent. Frequently, improved health and cost benefits of those newly established medical facilities offset the finances used to launch them within a year.
“Employers are facing double-digit medical cost trend increases and looking for solutions,” said David Keyt, national director of employer health centers at insurance company Alliant in comments about a study it carried out with the National Association for Workplace Health Care.
Its survey found 28 percent of business with their own health centers said they planned to establish new clinics in new locations in 2026. Nearly 55 percent of respondents also said they intended to increase services or staffing at existing clinics.
“Directly contracted worksite and near-site care models have been a proven strategy that delivers significant value on investment,” Keyt said. “Employer health centers are a strong foundation for an employer total worker health strategy.”
It’s also a win-win initiative, with companies cutting costs and productivity lost to staff illnesses through improved worker health and well-being. Just ask the 26,000 employees at Oakwood, Georgia-based poultry company Wayne-Sanderson Farms, which hired clinic operator and medical service provider Marathon Health to set up an on-site healthcare facility nearly a decade ago.
“Making things easy, making things affordable, putting that care right there at their fingertips … is what we want to do,” Wayne-Sanderson Farms’ director of benefits, Christy Freeman, told the Post.
While some companies like Wayne-Sanderson establish clinics to provide close and accessible health care options to their largely rural staffs, businesses in urban centers have done likewise to make visiting doctors and getting treatment easier for swamped employees.
For example, in 2022 Washington, D.C., law firm Sterne Kessler asked CloseKnit Health to set up and staff an in-house clinic to serve its attorneys and support workers. Many of those employees don’t have time to set up outside doctor visits, or commute to them when they roll around.
“Working at a law firm isn’t easy,” Sterne Kessler chief operating officer Rob Burger told the Post. “You have a lot of stress and a lot of hours. I saw people neglecting themselves.”
Similarly, telecom and media group Charter Communications partnered with Marathon Health in recent years to open three on-site health centers on its corporate campuses. Those have already handled over 10,000 appointments, and helped cut the company’s overall healthcare costs.
“People get what they need,” Paul Marchand, Charter’s executive vice president and chief human resources officer told the paper. “They get it on time. They get it in a convenient manner, and they walk out saying, ‘Wow, that was easy.’”
The government shutdown has reached its 36th day, the longest in U.S. history, as President Donald Trump pressures Republicans to end the Senate filibuster in order to reopen the government.”It’s time for Republicans to do what they have to do, and that’s terminate the filibuster. It’s the only way you can do it,” Trump told senators Wednesday at the White House.The filibuster is a Senate rule that requires 60 votes to advance most legislation. Ending the filibuster would allow Republicans to pass a bill with a simple majority, but several Republicans warn that when Democrats are in power, they’d be able to do the same thing. Senate Majority Leader John Thune said after breakfast at the White House, “It’s just not happening.”The president also said the shutdown was a “big factor, negative” in Tuesday’s election results.”Countless public servants are now not being paid and the air traffic control system is under increasing strain. We must get the government back open soon and really immediately,” Trump said.The shutdown is hitting home for many Americans, with lines stretching at food banks across the country as SNAP benefits are delayed and reduced for more than 40 million Americans. After-school programs that depend on federal dollars are closing. The Transportation Secretary said, starting Friday, there will be a 10% reduction in flights at 40 airports across the country.Republicans have pushed to reopen the government with a short-term spending bill. Democrats have rejected those bills, arguing that Republicans are leaving out a key provision: restoring expiring Affordable Care Act subsidies that help millions of Americans lower their health-insurance costs. Democrats say passing a short-term bill without those subsidies would leave families facing sudden premium spikes.”The election results ought to send a much needed bolt of lightning to Donald Trump that he should meet with us to end this crisis,” said Senate Democratic leader Chuck Schumer of New York. “The American people have spoken last night. End the shutdown, end the healthcare crisis, sit down and talk with us.”Republicans have said they’re willing to negotiate ACA subsidies, but only after the shutdown is over.See more government shutdown coverage from the Washington News Bureau:
WASHINGTON —
The government shutdown has reached its 36th day, the longest in U.S. history, as President Donald Trump pressures Republicans to end the Senate filibuster in order to reopen the government.
The filibuster is a Senate rule that requires 60 votes to advance most legislation. Ending the filibuster would allow Republicans to pass a bill with a simple majority, but several Republicans warn that when Democrats are in power, they’d be able to do the same thing.
Senate Majority Leader John Thune said after breakfast at the White House, “It’s just not happening.”
“Countless public servants are now not being paid and the air traffic control system is under increasing strain. We must get the government back open soon and really immediately,” Trump said.
The shutdown is hitting home for many Americans, with lines stretching at food banks across the country as SNAP benefits are delayed and reduced for more than 40 million Americans. After-school programs that depend on federal dollars are closing.
Republicans have pushed to reopen the government with a short-term spending bill. Democrats have rejected those bills, arguing that Republicans are leaving out a key provision: restoring expiring Affordable Care Act subsidies that help millions of Americans lower their health-insurance costs. Democrats say passing a short-term bill without those subsidies would leave families facing sudden premium spikes.
“The election results ought to send a much needed bolt of lightning to Donald Trump that he should meet with us to end this crisis,” said Senate Democratic leader Chuck Schumer of New York. “The American people have spoken last night. End the shutdown, end the healthcare crisis, sit down and talk with us.”
Republicans have said they’re willing to negotiate ACA subsidies, but only after the shutdown is over.
See more government shutdown coverage from the Washington News Bureau:
But Beijing’s tools go beyond these critical minerals. Three other industries where China has a chokehold—lithium-ion batteries, mature chips and pharmaceutical ingredients—give an idea of what the U.S. would need to do to free itself fully from vulnerability.
Oversees more than 22,000 nurses across 28 hospitals and 1,000 outpatient facilities.
Succeeds retiring nursing legend Maureen White after nearly 50 years at Northwell.
Woolforde brings 32 years of nursing leadership, education and research experience.
Northwell Health has named Launette Woolforde as executive vice president and chief nursing officer (CNO), placing the veteran nurse leader in charge of more than 22,000 nurses across the health system. Woolforde brings 32 years of experience of nursing practice, education and research, including the past 20 years at Northwell.
Woolforde succeeds Maureen White, who is retiring after nearly 50 years at Northwell. Since 2023, Woolforde has served as deputy CNO, collaborating with White and senior leaders while overseeing the system’s 28 hospitals and 1,000 outpatient facilities.
Woolforde “has been an exceptional and respected leader at Northwell for many years, bringing deep institutional knowledge and a thoughtful, forward-looking perspective to her new role as chief nursing officer,” Dr. John D’Angelo, Northwell’s president and CEO, said in a news release about the succession plan.
“As part of my new leadership team, I am proud to have selected Dr. Woolforde to lead our nursing enterprise into its next chapter,” D’Angelo said. “Maureen White is a true nursing legend, and we are deeply grateful for her decades of inspired service. I’m confident Dr. Woolforde will build on that legacy and elevate an already outstanding nursing program to even greater heights.”
Woolforde is vice dean at the Hofstra School of Nursing and Physician Assistant Studies and an assistant professor at the Zucker School of Medicine at Hofstra/Northwell. She previously served as CNO for Northwell’s Manhattan hospitals and as system vice president for nursing.
“Northwell’s next chapter is going to be extraordinary,” Woolforde said in the news release. ”Stepping into this role is both a privilege and a responsibility that I embrace deeply. I’m energized about collaborating with Dr. John D’Angelo and this exceptional leadership team, and I am committed to our nursing team and the excellent care we provide. Together we will improve health care for millions, leading with purpose, compassion innovation.”
Woolforde is credited with helping to build the infrastructure behind major achievements for the Northwell system, including the launch of its air medical transport program in 2014 and the development of the nurse residency program in 2019, accredited with distinction by the American Nurses Credentialing Center.
Woolforde earned a bachelor’s degree in nursing from Pace University, a master of science in nursing from Hunter College, a post-master’s certificate from The College of New Rochelle, a doctor of nursing practice from Case Western Reserve University and a doctor of education from Columbia University’s Teachers College.
Woolforde has received multiple honors for her contributions to nursing, education and health care, including the American Nurses Credentialing Center’s National Certified Nurse of the Year, induction into the Teachers College, Columbia University Alumni Hall of Fame, and the Sigma Theta Tau Honor Society International Founders Award. She holds dual board certifications and is a fellow of the American Academy of Nursing, the New York Academy of Medicine and the Health Management Academy.
For years, the U.S. and China have been locked in a pattern on the deadly issue of fentanyl. The White House pressures Beijing to stop Chinese companies from exporting chemicals used to make the drug to Mexico. Beijing takes incremental steps in exchange for Washington dialing down economic pressure—only for China to drag its feet when relations deteriorate.
President Trump, after a summit on Thursday with Chinese leader Xi Jinping, said tariffs he had imposed on China over its role in the fentanyl trade would be lowered to 10% from 20% because of Beijing’s “very strong action” in cracking down and Xi’s commitment to do more.
Reliance Foundation Chairperson Nita Ambani celebrated her 62nd birthday on November 1. She continues to inspire as one of India’s most influential women, balancing leadership roles in business, education, sports, and philanthropy.
Leader With a Vision
She is the Chairperson and Founder of Reliance Foundation and the Dhirubhai Ambani International School (DAIS), and also serves as a Director of Reliance Industries Limited. Her leadership reflects a deep commitment to empowering people and creating social impact.
Powering Indian Sports
A passionate sports supporter, Nita Ambani co-owns the Mumbai Indians men’s and women’s teams in the IPL and WPL. Her efforts have played a key role in promoting sports at both grassroots and professional levels.
Making History in the Olympics
In 2016, she became the first Indian woman to join the International Olympic Committee (IOC). She continues to champion India’s growing presence in global sports and supports the nation’s bid for the 2036 Olympics.
Shaping Young Minds
At Dhirubhai Ambani International School, Nita Ambani promotes holistic education that blends academic excellence with creativity, leadership, and global awareness.
Championing Healthcare for All
Under her leadership, the Sir H. N. Reliance Foundation Hospital in Mumbai has become known for high-quality, accessible healthcare. Through the Reliance Foundation, she has launched multiple initiatives supporting rural health, women’s empowerment, and disaster relief.
Celebrating Indian Art & Culture
In 2023, she inaugurated the Nita Mukesh Ambani Cultural Centre (NMACC) in Mumbai — a world-class space dedicated to showcasing and preserving India’s rich art, culture, and heritage.
Reliance Foundation’s Nationwide Impact
Founded in 2010, the Reliance Foundation has grown into one of India’s largest non-profit organisations, impacting over 76 million lives through work in education, healthcare, rural transformation, sports, disaster response, and arts & culture.
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Open enrollment season begins November 1, and many employees are stunned by price increases in their company-provided health insurance coverage. The sticker shock many workers feel now were already a source of stress for employers, and next year’s hikes are expected to be steeper, according to a healthcare think tank’s latest report.
The most recent alert about rising health insurance prices came from KFF, a non-profit organization that monitors the medical sector and healthcare issues. Its 27th annual survey of more than 1,800 businesses with at least 10 employees found premiums for the family plans that most workers opt for rose 6 percent this year, well over twice the 2.7 percent inflation rate during the same period. For employers, that pushed the average annual cost of those plans up to nearly $27,000, with about 23 percent of the outlays — or $6,850 —passed along to covered workers.
Those findings were largely in line with results of a September survey by consulting firm Mercer, which pegged the rises at 6.5 percent — but only after business owners adjusted plans to pass on part of the higher costs with covered workers. Mercer also found employers expect an additional 9 percent hike in health plan prices next year, slightly lower than the 10 percent or more KFF respondents anticipated.
“Many employers may be bracing for higher costs next year, with insurers requesting double-digit increases in the small-group and individual markets on average, possibly foreshadowing big increases in the large-group markets as well,” the KFF report said.
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The price differences between plans for small and large companies come down to volume — and leverage.Corporations with big staffs can more easily negotiate lower coverage prices with insurance providers than companies with 200 employees or less, many of which participated in the KFF survey. Consequently, most of those smaller businesses pay higher premiums.
That means once small business owners pass along the typical 20 percent to 25 percent of those costs to staff, their employees on average wind up paying $12,000 per year for family plans, or nearly twice the national amount KFF identified. Many other entrepreneur-owned companies are denied coverage entirely, with insurers considering them too small to bother with.
When that happens, workers usually turn to plans offered under the Affordable Care Act, which are also expected to rise even higher amid the tax and spending cuts passed in President Donald Trump’s “One Big Beautiful Bill.” As things stand, pretty much all businesses, organizations and individuals seeking health insurance are on the hook for price hikes.
Employers told KFF that a big driver of the increases are the surging costs of prescription drugs, especially GLP‑1s medication. That’s now frequently being used for weight loss, and by a far higher number of people than any insurance companies or client businesses expected.
But prices for virtually all aspects of healthcare — including insurance itself — have spiked as consolidation across the sector continues, concentrating pricing power as competition declines. That evolution is one reason KFF warned of even bigger shocks to both employers and workers in 2026.
“There is a quiet alarm bell going off,” said KFF President and CEO Drew Altman in comments accompanying the survey’s results, in which coverage of semaglutide weight-loss drugs play an increasingly significant role. “With GLP-1s, increases in hospital prices, tariffs and other factors, we expect employer premiums to rise more sharply next year.”
But there’s another reason for Altman’s alert. While businesses have managed to make changes in the past to negotiate limited increases from insurers — and shift some higher costs to employees — their margin for maneuver has now significantly narrowed. That’s especially true when it comes to skyrocketing prescription drug prices, which are almost entirely out of their control.
As a result, many employers may have no other option than to require their staff to shoulder more of their health insurance costs, or simply stop including many expensive drugs and treatments that are pushing expenses up.
“Employers have nothing new in their arsenal that can address most of the drivers of their cost increases,” Altman warned. “(T)hat could well result in an increase in deductibles and other forms of employee cost sharing again, a strategy that neither employers nor employees like but companies resort to in a pinch to hold down premium increases.”
In March, Sen. Steve Daines traveled to Beijing with a group of American chief executives in hopes of calming a tense trade relationship between the world’s two largest economies.
Weeks earlier, President Trump had added an additional 20% in tariffs on China over what he said was its role in the fentanyl trade. The Montana senator and close Trump ally, who lived in China and Hong Kong for six years in the 1990s as an executive for Procter & Gamble, saw an opening to smooth things over.
For some kids, the school nurse is there to put a bandage on a skinned knee or check for a fever. But for a majority of Black students, too often, that nurse is the only healthcare provider they’ll see all year. If House Republicans get their way, though, even that might disappear.
Indeed, Medicaid is the largest federal funding source for school-based health services. And with GOP lawmakers inching closer to passing the One Big Beautiful Bill Act, the health safety net it provides students could be ripped away.
The budget bill, a cornerstone of President Donald Trump’s domestic agenda, slashes at least $715 billion from Medicaid. That means school-based health services funded through Medicaid, such as speech therapy, occupational therapy, mental health counseling, and behavioral health care, could be greatly reduced or eliminated entirely.
“It would be unacceptable and unethical to take that away from our kids,” Lauren Reliford, policy director at the Children’s Defense Fund, tells Word In Black, “Cuts like these will be particularly harmful for children who live at the intersection of race, ethnicity, citizenship status, gender identity, and disabilities.”
School Is the Only Place Some Kids Get Care
According to the Economic Policy Institute, more than half of all Black children under age 19 rely on public health insurance like Medicaid. For some, this means coverage outside of school — doctor’s visits, prescriptions, and other care. But for many Black students in under-resourced schools, school is often the only place they can get health services at all.
Black students are more likely than their white peers to be enrolled in school-based Medicaid programs. In 2023, 51.2% of Black children received healthcare through these school-based health centers (SBHCs), compared to just 23.8% of white children.
SBHCs, which offer a range of services — including annual physicals, dental care, and mental health counseling receive federal Medicaid reimbursement to defray their operating costs. This is especially the case in low-income, majority-Black districtswhere students often qualify for public health insurance.
The Academic Benefits
In a recent study published in the Research Journal of Adolescent Health,researchers noted that SBHCs “support children’s school function by addressing health concerns that might get in the way of students’ academic success without requiring them to leave campus and miss school.” Researchers also found that SBHCs are linked to improved GPAs and higher graduation rates.
A 2023 study conducted by The Los Angeles Trust for Children’s Health and partners found that students who got healthcare at school gained 5.4 to 7 additional school days of attendance per year. And in New York City, a study of school-based health centers found a positive correlation between access to health centers and student performance in English Language Arts (ELA).
If these services disappear, experts warn that Black students — who already face higher rates of school-based trauma and fewer support systems — risk being pushed further behind.
Meanwhile, districts are already bracing for the impact if the One Big Beautiful Bill Act becomes law. A March survey by the School Superintendents Association found that nearly 70% of district leaders anticipate having to cut school-based mental and behavioral health services if Medicaid is reduced or eliminated.
And for Black and Brown children, who are already often failed by the educational system, Reliford says taking away that care is not just negligent — it’s dangerous.
“Every child deserves access to healthcare for their body and mind,” she says, “This is an intolerable scenario that the nation’s lawmakers must do everything in their power to avoid. We must demand better for them — and from those in power.”
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Quintessa Williams, Word in Black and Word In Black
Striking workers at Boeing Defense in the St. Louis area rejected the company’s latest contract proposal on Sunday, sending a strike that has already delayed delivery of fighter jets and other programs into its 13th week.
In a statement after the vote, union leadership said the company had failed to address the needs of the roughly 3,200 members of the International Association of Machinists and Aerospace Workers (IAM) District 837.
“Boeing claimed they listened to their employees the result of today’s vote proves they have not,” IAM International President Brian Bryant said in a statement. “Boeing’s corporate executives continue to insult the very people who build the world’s most advanced military aircraft – the same planes and military systems that keep our servicemembers and nation safe.”
The five-year offer was largely the same as offers previously rejected by union members. The company reduced the ratification bonus but added $3,000 in Boeing shares that vest over three years and a $1,000 retention bonus in four years. It also improved wage growth for workers at the top of the pay scale in the fourth year of the contract.
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“To fund the increases in this offer, we had to make trade-offs,” including reduced hourly wage increases tied to attendance and certain shift work, Boeing Vice President Dan Gillian said in a message to workers on Thursday.
IAM leaders have pressed the planemaker for higher retirement plan contributions and a ratification bonus closer to the $12,000 that Boeing gave to union members on strike last year in the company’s commercial airplane division in the Pacific Northwest.
Boeing’s Gillian has called the company’s offer a landmark deal and “market-leading,” and he has repeatedly said Boeing would not increase the overall value of its terms, and only shift value around.
Boeing is expected to report another unprofitable quarter when it posts its third-quarter results on Wednesday. Wall Street analysts anticipate the company will announce a multi-billion dollar charge on its 777X program, which is six years behind schedule and not yet certified by regulators.
In September, IAM members approved the union’s proposed four-year contract. However, Boeing management has refused to consider that offer.
The IAM estimates that its offer would add about $50 million to the agreement’s cost over its four-year duration, compared with the company offer that was rejected. Boeing CEO Kelly Ortberg is set to earn $22 million this year.
Union officials accused Boeing of bargaining in bad faith in an unfair labor practice charge filed October 16 with the National Labor Relations Board.
“It’s well past time for Boeing to stop cheaping out on the workers who make its success possible and bargain a fair deal that respects their skill and sacrifice,” Bryant said.
Union members say they are getting by on a mix of $300 a week in strike benefits from the IAM, second jobs, and belt-tightening. Boeing has said that striking workers’ coverage under company-provided health insurance ended on August 30.
Since the strike began on August 4, Boeing officials have repeatedly said the company’s mitigation plan has limited the effects of the work stoppage on production.
However, it has delayed deliveries of F-15EX fighters to the U.S. Air Force, General Kenneth Wilsbach told the Senate Armed Services Committee in comments submitted for a October 9 hearing on his nomination as the Air Force’s chief of staff.
Reporting by Dan Catchpole in Seattle; Editing by Mark Heinrich, Nia Williams and Edmund Klamann
WASHINGTON — Twenty-two days into the government shutdown, California Rep. Kevin Kiley spent an hour of his morning in Washington guiding a group of middle school students from Grass Valley through the empty corridors of the U.S. Capitol.
Normally, one of his staff members would have led the tour. But the Capitol is closed to all tours during the shutdown, unless the elected member is present. So the schoolchildren from Lyman Gilmore Middle School ended up with Kiley, a Republican from Rocklin, as their personal tour guide.
“I would have visited with these kids anyway,” Kiley said in his office after the event. “But I actually got to go on the whole tour of the Capitol with them as well.”
Kiley’s impromptu tour is an example of how members of California’s congressional delegation are improvising their routines as the shutdown drags on and most of Washington remains at a standstill.
Some are in Washington in case negotiations resume, others are back at home in their districts meeting with federal workers who are furloughed or working without pay, giving interviews or visiting community health centers that rely on tax credits central to the budget negotiations. One member attended the groundbreaking of a flood control project in their district. Others are traveling back and forth.
“I’ve had to fly back to Washington for caucus meetings, while the opposition, the Republicans, don’t even convene and meet,” Rep. Maxine Waters, a longtime Los Angeles Democrat, said in an interview. “We will meet anytime, anyplace, anywhere, with [House Speaker Mike] Johnson, with the president, with the Senate, to do everything that we can to open up the government. We are absolutely unified on that.”
The shutdown is being felt across California, which has the most federal workers outside the District of Columbia. Food assistance benefits for millions of low-income Californians could soon be delayed. And millions of Californians could see their healthcare premiums rise sharply if Affordable Care Act subsidies are allowed to expire.
For the California delegation, the fallout at home has become impossible to ignore. Yet the shutdown is in its fourth week with no end in sight.
In the House, Johnson has refused to call members back into session and prevented them from doing legislative work. Many California lawmakers — including Kiley, one of the few GOP lawmakers to openly criticize him — have been dismayed by the deadlock.
“I have certainly emphasized the point that the House needs to be in session, and that canceling a month’s worth of session is not a good thing for the House or the country,” Kiley said, noting that he had privately met with Johnson.
Kiley, who represented parts of the Sacramento suburbs and Lake Tahoe, is facing political uncertainty as California voters weigh whether to approve Proposition 50 on Nov. 4. The measure would redraw the state’s congressional districts to better favor Democrats, leaving Kiley at risk, even though the Republican says he believes he could still win if his right-leaning district is redrawn.
The Senate has been more active, holding a series of votes on the floor and congressional hearings with Atty. Gen. Pam Bondi and CIA Director John Ratcliffe. The chamber, however, has been unable to reach a deal to reopen the government. On Thursday, the 23rd day of the shutdown, the Senate failed to advance competing measures that would have paid federal employees who have been working without compensation.
The Republicans’ plan would have paid active-duty members of the military and some federal workers during the shutdown. Democrats backed a bill that would have paid all federal workers and barred the Trump administration from laying off any more federal employees.
“California has one of the largest federal workforces in the country, and no federal worker or service member should miss their paychecks because Donald Trump and Republicans refused to come to the table to protect Americans’ health care,” Sen. Alex Padilla said in a statement.
Working conditions get harder
The strain on federal employees — including those who work for California’s 54 delegation members — are starting to become more apparent.
Dozens of them have been working full time without pay. Their jobs include answering phone calls and requests from constituents, setting the schedules for elected officials, writing policy memos and handling messaging for their offices.
House Speaker Mike Johnson speaks about the shutdown at a news conference Thursday with other Republican House members.
(Eric Lee / Getty Images)
At the end of October, House staffers — who are paid on a monthly basis — are expected to miss their first paycheck.
Some have been quietly told to consider borrowing money from the U.S. Senate Federal Credit Union, which is offering a “government shutdown relief loan program” that includes a no-interest loan of up to $5,000 to be repaid in full after 90 days.
The mundane has also been disrupted. Some of the cafeterias and coffee carts that are usually open to staffers are closed. The lines to enter office buildings are long because fewer entrances are open.
The hallways leading to the offices of California’s elected officials are quiet, except for the faint sound of occasional elevator dings. Many of their doors are adorned with signs that show who they blame for the government shutdown.
“Trump and Republicans shut down the government,” reads a sign posted on the door that leads into Rep. Norma Torres’ (D-Pomona) office. “Our office is OPEN — WORKING for the American people.”
Rep. Ted Lieu, a Democrat from Torrance, posted a similar sign outside his office.
A sign is posted outside of the office of Rep. Ted Lieu, a California Democrat, in Washington on Wednesday.
(Ana Ceballos / Los Angeles Times)
Rep. Vince Fong, a Republican who represents the Central Valley, has been traveling between Washington and his district. Two weeks into the shutdown, he met with veterans from the Central Valley Honor Flight and Kern County Honor Flight to make sure that their planned tour of the Capitol was not disrupted by the shutdown. Like Kiley’s tour with the schoolchildren, an elected member needed to be present for the tour to go on.
“His presence ensured the tour could continue as planned,” Fong’s office said.
During the tour, veterans were able to see Johnson as well, his office said.
Shutdown highlights deep divisions
California’s congressional delegation mirrors the broader stalemate in Washington, where entrenched positions have kept both parties at a negotiation impasse.
Democrats are steadfast in their position that they will not agree to a deal unless Republicans extend the Affordable Care Act tax credits expiring at the end of the year, while Republicans are accusing Democrats of failing to reopen the government for political gain.
Kiley is one of the few Republicans who has called on Johnson to negotiate with Democrats on healthcare. Kiley said he thinks there is a “a lot of room to negotiate” because there is concern on both sides of the aisle if the tax credits expire.
“If people see a massive increase in their premiums … that’s not a good thing,” he said. “Especially in California, where the cost of living is already so high, and you’re suddenly having to pay a lot more for healthcare.”
Rep. Robert Garcia, the chair of the House Democratic Caucus, in a press event Wednesday with five other California Democrats talked about the need to fight for the healthcare credits.
Garcia, of Long Beach, said he recently visited a healthcare center in San Bernardino County that serves seniors with disabilities. He said the cuts would be “devastating” and would prompt the center to close.
“That’s why we are doing everything in our power to negotiate a deal that reopens the federal government and saves healthcare,” he said.
As the shutdown continues, many Democrats are digging their heels on the issue.
At an Oct. 3 event outside of Hollywood Presbyterian Medical Center, for instance, Rep. Laura Friedman held a news conference with nurses and hospital staff and said she would not vote for a bill to reopen the government unless there is a deal on healthcare.
Last week, the Glendale Democrat said her position hasn’t changed.
“I will not support a shutdown deal that strips healthcare from tens of thousands of my constituents,” she said.
Tens of thousands of New Yorkers saw some medical debt relief thanks to an $18 million investment from the city, Mayor Eric Adams announced on Wednesday. Now, even more New Yorkers are set to get additional help.
The mayor also announced the opening of eight new financial centers at city-run hospitals in four of the five boroughs.
The move will relieve some or all of the medical debt for 500,000 New Yorkers on a one-time basis. It is part of a program Adams launched last year with Undue Medical Debt, a nonprofit that buys medical debt to acquire debt portfolios from healthcare providers, hospitals, and collection agencies.
Since the program launched in 2024, it has thus far canceled $135 million in medical debt for 75,000 New Yorkers.
Eligibility for the program
There is no application process for the program. The nonprofit purchases a bundle of qualifying medical debt at “pennies on the dollar,” the mayor’s office explained. Debt relief recipients will then be notified that their debt has been bought by a third party and erased, the mayor’s office said, adding that recipients will owe nothing on the debt and face no tax penalty.
New Yorkers who fit one of the two eligibility criteria will qualify for the debt relief if their debt has been acquired:
Having an annual household income at or below 400% of the Federal Poverty Line
Having medical debt equal to 5% or more of their annual household income.
“For too long, and for too many, medical debt has not only been a barrier for those looking to get the health care they need, but also a major financial and emotional stressor for families through no fault of their own,” the mayor said. “Working-class New Yorkers shouldn’t have to live in fear that getting sick will break their bank, and, thanks to our administration, they won’t have to.”
Healthcare debt in the United States is an ongoing problem. Many people struggle to pay for healthcare, and approximately 9% owe over $250 due to health costs, according to the National Institutes of Health.
Financial experts have said carrying medical debt can undermine financial stability by affecting credit scores.
It can also put individuals and families in difficult positions to choose between care and other necessary expenses, Michelle Morse, M.D., NYC Department of Health and Mental Hygiene acting commissioner, said.
“Erasing medical debt isn’t just a gesture of compassion, it’s a necessity when so many New Yorkers are often forced to choose between their health and basic needs like food or housing,” she said. “We must create a more equitable and affordable system so that New Yorkers do not fear financial ruin after seeking necessary medical care. By relieving debt burden, we’re providing people with the freedom to prioritize their health while making our city stronger and more accessible for everyone.”
Preventing medical debt
These free one-on-one financial counseling and coaching services are now open at the following NYC Health and Hospitals locations:
BRONX
NYC Health + Hospitals/Gotham Health, Tremont
1920 Webster Avenue, Bronx, NY 10457
Mondays and Tuesdays, 9:00 AM – 5:00 PM NYC Health + Hospitals/Jacobi
1400 Pelham Pkwy. S, Building 8 Atrium, Bronx, NY 10461
Wednesdays and Thursdays, 9 a.m. – 5 p.m. BROOKLYN
NYC Health + Hospitals/Gotham Health, East New York
2094 Pitkin Ave., 2nd Floor, Room 202, Brooklyn, NY 11207
Tuesdays and Thursdays, 9 a.m. – 5 p.m. NYC Health + Hospitals/Kings County
451 Clarkson Ave., E Building, Main Lobby, Brooklyn, NY 11203
Mondays and Wednesdays, 9 a.m. – 5 p.m. MANHATTAN
NYC Health + Hospitals/Bellevue
462 First Ave., New York, NY 10016
Finance Department, First Floor, Hospital Building
Tuesdays and Thursdays, 9 a.m. – 5 p.m. NYC Health + Hospitals/Gotham Health, Gouverneur
227 Madison St., 5th Floor Lobby, New York, NY 10002
Mondays and Wednesdays, 9 a.m. – 5 p.m. QUEENS
NYC Health + Hospitals/Elmhurst
79-01 Broadway, Main Lobby, Broadway Entrance, Elmhurst, NY 11373
Mondays and Wednesdays, 9 a.m. – 5 p.m. NYC Health + Hospitals/Queens
82-70 164th St., Main Building, Conference Room D, Jamaica, NY 11434
