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2025 Budget Reconciliation

2025 Reconciliation Bill: Tracking Health Provisions

KFF is tracking key health provisions in the House-passed budget reconciliation legislation. The summary compares proposals for Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts to current law and will be updated to reflect changes as the bill moves through the Senate.

Proposed Medicaid Federal Match Penalty for States That Expanded Coverage for Immigrants: State Estimates

A provision in the now passed House reconciliation bill seeks to reduce federal Medicaid funding to states as a penalty for providing coverage to certain immigrants. Our updated analysis examines its potential impact on state Medicaid spending and coverage.

How Budget Bill will Affect Uninsured Rate by State: Allocating CBO’s Partial Estimates of Coverage Loss

Under the passed House reconciliation bill, the number of uninsured people could increase by 8.6 million, due largely to changes to Medicaid and the ACA. If the ACA enhanced premium tax credits expire this year, the combined impact would be 13.7 million more uninsured people in 2034, per CBO.

State-Level Context for Federal Medicaid Cuts of $625 Billion

What might proposed federal Medicaid cuts of $625 billion over 10 years look like relative to increased state taxes or decreased spending on other state programs? Our analysis estimates the potential variation in the impact of the proposed cuts based on CBO’s preliminary estimates.

Quick Takes

The Spotlight Is on Medicaid Cuts, But the ACA Marketplaces Could See a One-Third Cut in Enrollment

In his latest column, President and CEO Drew Altman shows how proposals contained in the House reconciliation bill could result in a one-third reduction in ACA Marketplace enrollment. “While all eyes are on the big Medicaid cuts being proposed in the House,” he writes, “significant changes are also being proposed that together would dramatically reduce enrollment in the ACA Marketplaces.”

Marketplace Enrollees with Unpredictable Incomes May Face Bigger Penalties Under House Bill

Calculator: How Premiums Would Change if ACA’s Enhanced Tax Credits Expire

Congressional District Map Shows Potential Premium Increase Without Tax Credits

How Will the 2025 Budget Reconciliation Affect the ACA, Medicaid, and the Uninsured Rate?

More On Medicaid

State Medicaid Facts

Our updated state Medicaid fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, work status, eligibility and access, and financing.


Facts About Medicaid Work Requirements

Facts About Medicaid and Provider Taxes

State Profiles for Dual-Eligible Individuals

Latest News

More KFF Health News
new and NoteWorthy

  • The Monitor: New Vaccine Requirements, Anti-mRNA Narratives

    This volume highlights how new vaccine requirements and the spread of anti-mRNA sentiments are fueling confusion and distrust. It also examines reactions to a federal report on gender-affirming care for minors and investigates how TikTok is being used to promote false health claims through deepfake personas targeting young women.

  • Work Requirements: What We Know From State Waiver Experience

    The work requirement provisions in the House budget reconciliation bill raise many operational and implementation questions. We consider Medicaid work requirement experience in Arkansas and Georgia to provide context and insights.

  • Survey: Immigrants’ Views, Experiences Under Trump 2.0

    Our latest survey finds that immigrants’ worries about detention or deportation have risen sharply since 2023, even among lawfully present immigrants and naturalized citizens. This poll finding includes new insights about immigrants’ attitudes and experiences during the early days of President Trump’s second term.

  • Beyond the Data, a Column by Drew Altman

    In his regular Beyond the Data columns, CEO Drew Altman discusses what the data, polls, and journalism produced by KFF mean for policy and for people. 

Browse the Latest from KFF

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The independent source for health policy research, polling, and news, KFF is a nonprofit organization based in San Francisco, California.