Hamas Agrees to Trump Plan, Shutdown Day 4, Medicaid Cuts

This NPR "Up First" podcast episode for October 4th, 2025, covers three main news stories: Firstly, it discusses Hamas's conditional acceptance of President Trump's ceasefire proposal with Israel, including ongoing negotiations and distrust between both parties. Secondly, it examines the fourth day of a U.S. government shutdown due to disagreements in the Senate over healthcare benefits, highlighting the competing proposals and the White House's response, including potential program cuts. Finally, the episode explores state government cuts to Medicaid programs, focusing on the impact of these cuts on healthcare access, particularly for vulnerable populations like nursing home residents and children with disabilities, and the broader implications of budget shortfalls and reduced federal funding.