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Democratic state lawmakers in California have proposed bills to protect women, transgender people, and immigrants in response to concerns that their health data could be used against them. If the measures reach his desk, Gov. Gavin Newsom could lay such legislation aside to focus on securing federal funds.

The Trump administration’s efforts to downsize the federal government continue, with both personnel and programs being cut at the Department of Health and Human Services, the Department of Veterans Affairs, and the Social Security Administration. Meanwhile, the fight over cuts to the Medicaid program for those with low incomes heats up, as Republicans worry that more of their voters than ever before are Medicaid beneficiaries. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Jeff Grant, who recently retired from the Centers for Medicare and Medicaid Services after 41 years in government service.

Medi-Cal, California’s Medicaid program, borrowed $3.4 billion from the state — and will likely need even more — due to higher prescription costs and increased eligibility for seniors and immigrants. The top Republican in the state Senate is demanding a hearing “so the public knows exactly where their tax dollars are going.”

A Republican House resolution, which needs the Senate’s buy-in, directed a committee to propose ways to reduce the deficit by at least $880 billion over a decade. Lawmakers have taken Medicare off the table for cuts, which makes it impossible to reach $880 billion without cutting Medicaid.

Hospital-based violence intervention programs have operated in the U.S. since the mid-1990s. The public health approach to gun violence works, by many accounts. But recent moves by the White House are raising anxiety about the programs’ future.