The independent source for health policy research, polling, and news.
The maps in this brief show how much average premium payments would increase for 2026 benchmark silver plans with the expiration of enhanced premium tax credits at three income levels above an income cap of 400% of federal poverty for a 40-year-old and 60-year-old individual, namely 401%, 501% and 601%.
In this JAMA Viewpoints column, KFF’s Drew Altman, Ashley Kirzinger and Mollyann Brodie explore the power of health care affordability as an economic issue, how it has played out in recent election cycles, and the implications for the 2026 midterm elections.
KFF polling has found that the high cost of health care is a burden on U.S. families, and that health care costs factor into decisions about insurance coverage and care seeking.
This chapter examines how health care spending varies across the population, the impact of costs on care affordability and individuals’ overall financial vulnerability.
Timely insights and analysis from KFF staff
While Republicans in Congress have largely opposed the IRA and Medicare drug price negotiation, President Trump appears to be embracing it. With this latest announcement, the Trump administration can take credit for delivering lower drug prices in Medicare, while Democrats can take credit for creating the Medicare drug price negotiation program in the first place. … more
The Administration’s change to reimbursement for drug administration services represents a step forward in implementing site neutral payment reforms but is modest compared to some of the more sweeping options raised by MedPAC and others. … more
This policy change will likely exacerbate fears among immigrant families about health officials and providers sharing patient information with ICE, increasing their reluctance to access health coverage or care. … more
KFF shares the first state-level view of the role of different reproductive health safety net providers in contraceptive care for female Medicaid enrollees. In 2023, more than 4 in 10 female Medicaid enrollees had their last contraceptive visit at a Planned Parenthood, community health center, health department, or Indian Health Services.
This issue brief uses data from KFF’s 2025-2026 survey of Medicaid directors to describe states’ current provider taxes, explore how the 2025 reconciliation law changed the federal rules governing provider taxes, and summarize potential impacts of the changes across states.
ACA marketplace premiums are going up an average of 26%. But what enrollees will pay could go up an average of 114%. How can both of those numbers be right? This short video explains the difference between what insurers charge and what enrollees will pay if the enhanced premium tax credits expire.
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Juliette Cubanski 
Zachary Levinson 
Drishti Pillai 
