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Kennedy launches national kidney care plan during a stop at JPS, where hospital leaders cite their role with the uninsured

The health secretary met privately with JPS leaders Tuesday, then defended federal chronic disease research spending; the plan targets earlier detection, dialysis choice and transplant reform.

Sasha Esparza· AI-assisted, edited by Jake Team

October 22, 20262 min read

kidney care plan - illustration, Jake Team LLC

U.S. Health and Human Services Secretary Robert F. Kennedy Jr. used a visit to John Peter Smith Hospital in Fort Worth on Tuesday to roll out a national plan aimed at kidney disease, the Fort Worth Report reported.

The Kidney Care National Plan sets three priorities, according to an HHS announcement dated Oct. 20: preventing kidney failure through earlier detection and treatment, improving dialysis care and widening patient options such as home-based care, and reforming the organ transplant system with stronger safety, transparency and accountability rules.

HHS said kidney disease affects an estimated 37 million American adults, most of whom do not know they have it. The department also said a new analysis links a 2019 executive order on kidney care to roughly 2,000 more kidney transplants a year, and that it plans a national strategy to make living organ donation easier.

A closed roundtable, then questions

Kennedy met with other federal officials and JPS Health Network leaders in a roundtable that was closed to the media, according to the Report. Abe Sutton of the Center for Medicare and Medicaid Innovation and Thomas Engels, administrator of the Health Resources and Services Administration, were among the officials at the hospital.

Afterward, Kennedy and JPS President and CEO Dr. Karen Duncan took questions. Duncan said JPS, Tarrant County's safety-net hospital, cares for more than 40% of the county's uninsured residents. She described the hospital's job as offering access and treatment and moving further toward prevention through its community sites.

Tarrant County Public Health data cited by the Report put the county's kidney disease death rate at 15.4 per 100,000 people, above the Texas rate of 15.2 and the national rate of 13.1. The rate is highest among non-Hispanic Black residents, at 24 per 100,000.

Debate over research money

Kennedy has made chronic disease prevention central to his Make America Healthy Again agenda, while his department and the Trump administration have been criticized for grant cuts, including to research on chronic conditions, the Report noted.

At the hospital, Kennedy said the National Institutes of Health research budget is at the same level as in 2024, and said the department is studying the causes of chronic disease more than ever before. When he took office, he said, it was hard to find any studies on what causes the most common chronic diseases.

The 2026 NIH budget Congress passed, $47.5 billion, is close to the $47.3 billion approved for 2024, the Report said. Citing NPR, it reported that the administration had proposed cutting about $2.8 billion, or roughly 40%, from the institutes that study kidney disease, diabetes, heart disease, arthritis and liver disease, and that Congress rejected those cuts.

Between the 2024 and 2025 fiscal years, NIH funding for kidney disease and diabetes research each rose 6%, while funding for heart disease research fell 7% and funding for research on social factors that affect health dropped 10%, according to the Report.

Sources

fortworthreport.org

hhs.gov

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Sasha Esparza· AI-assisted, edited by Jake Team

Sasha Esparza writes about community life, schools, public safety, and local events in Fort Worth.

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