Medicaid & Trans Care Legal Fight: Vermont AG Charity Clark and a 21-state coalition sued the Trump Administration over a rule that would block federal Medicaid/CHIP reimbursement for gender-affirming care for low-income youth, with an Oct. 13, 2026 effective date. VA Health IT Oversight: A House panel voted to subpoena Oracle leaders over ballooning costs and implementation problems tied to the VA’s electronic health record overhaul. Medicaid Funding Pressure on Hospitals: Texas hospitals face an estimated $27M-a-day hit from a Medicaid reimbursement dispute between state and federal officials, raising fears of service cuts. Rural Care Access: Ascension St. John Nowata in Oklahoma transitioned to a Rural Emergency Hospital designation, keeping 24/7 emergency and key outpatient services. Hospital M&A: Salem Health completed its merger with Santiam Hospital in Oregon, preserving operations after years of financial strain. Unionization in Nursing: SSM Health Dean nurses in Wisconsin set union election dates for outpatient clinics, following a prior NLRB decision involving other nurses. Public Health Alerts: Pennsylvania measles cases climbed to 540 across 36 counties, with 91 hospitalizations; Switzerland County reported a confirmed case. Community Health & Prevention: Utah County offered naloxone training amid fentanyl pill seizures, while back-to-school pop-ups provided screenings and mental health support. Care Expansion: East San Jose’s county-run Regional Medical Center added emergency beds, boosting capacity and patient volume. Global Health & Climate: A new study highlights a growing “double burden” of childhood obesity and undernutrition across low- and middle-income countries. Hospital Power & Sustainability: First Gen agreed to supply geothermal clean electricity to Surigao Doctors’ Hospital in the Philippines.