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HHS Plans Covid Vaccine Injury Compensation as ACA Enrollment Drops

A KFF Health News editor discussed federal plans to compensate for automatic covid vaccine injuries and a recent decline in ACA sign-ups on national television.

Poumons et seringue
Poumons et seringue      Covid Vaccine Syringe    WHO-openaccess (WHO original PNG file) Cantons-de-l'Est (image cropping) / Wikimedia Commons (CC BY-SA 3.0 igo)
By Free News Press Editorial Team
Published July 18, 2026 at 1:42 PM PDT

The Department of Health and Human Services is moving toward offering compensation for what it has classified as automatic covid vaccine injuries, while enrollment in Affordable Care Act health plans has fallen, according to recent reporting by KFF Health News.

Céline Gounder, KFF Health News' editor-at-large for public health, discussed both developments on CBS' The Takeout With Major Garrett in early July. She addressed the HHS compensation plan on July 10 and the drop in ACA enrollment on July 9.

The HHS plan would provide compensation to individuals who experienced specific injuries that the agency has determined are automatically linked to covid vaccines. The compensation framework represents a significant policy move by the federal health agency, though details of eligibility and payment amounts were not specified in the available reporting.

On ACA enrollment, Gounder discussed a decline in sign-ups for Affordable Care Act health plans. The ACA, which has provided coverage to tens of millions of Americans since its passage in 2010, has seen enrollment fluctuate depending on federal policy, outreach funding, and the availability of subsidies. A drop in enrollment can leave more Americans without health insurance coverage.

Separately, KFF Health News Southern correspondent Sam Whitehead discussed abortion telehealth on WUGA's The Georgia Health Report, also on July 10. Whitehead's reporting connected to a broader story about how telehealth providers are responding to state-level abortion restrictions.

That coverage included reporting by Kate Wells under the headline "A Ban Won't Stop Abortion Pill Access, Telehealth Providers Say," which examined how providers of abortion medication via telehealth are continuing to operate despite legal restrictions in several states. Telehealth has become a significant channel for medication abortion access, particularly in states where in-person abortion services have been curtailed or eliminated since the Supreme Court's 2022 decision in Dobbs v. Jackson Women's Health Organization.

The intersection of telehealth, reproductive health, and federal health policy has become one of the more actively reported areas in American health journalism. Providers and legal advocates have argued that interstate telehealth services can reach patients in states with abortion bans, while state attorneys general in several states have moved to prosecute providers operating across state lines.

The three topics covered by KFF Health News journalists reflect broader pressures on the American health system: unresolved questions about the long-term handling of covid vaccine side effects, uncertainty about the future of subsidized insurance coverage, and ongoing legal conflict over reproductive health access through digital platforms.

A person, wearing gloves and a surgical mask, handles a COVID-19 Vaccine vial and syringe.
A person, wearing gloves and a surgical mask, han…      Vaccine Syringe    United States Census / Wikimedia Commons (Public domain)