BTD Health Policy in 2026

Drew Altman: Health Policy in 2026

In a new Beyond the Data column, President and CEO Dr. Drew Altman forecasts eight things to look for in health policy in 2026. “First and foremost,” he writes, “is the role health care affordability will play in the midterms.” And, he notes: “The average cost of a family policy for employers could approach $30,000 and cost sharing and deductibles will rise again after plateauing for several years.”

Medicaid Work Requirements

KFF Health News: Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.

New federal rules will require more than 18 million Medicaid enrollees nationwide to show they’re working, volunteering, or going to school for 80 hours a month starting in 2027 to keep their coverage. But lacking sufficient federal guidance, states are wrestling with how to define medical frailty — a consequential decision that could cut Medicaid coverage for many people, said state officials, consumer advocates, and health policy researchers.

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements

KFF’s interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. The tracker includes state-level data on Medicaid enrollment and renewal outcomes as well as current state enrollment and renewal policies.

Timely insights and analysis from KFF staff

AFFORDABILITY

new and noteworthy

Where Do Female Medicaid Enrollees Receive Their Contraceptive Care?

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.

Potential ‘Chilling Effects’ of Public Charge, Other Immigration Policies on Medicaid, CHIP Enrollment

This issue brief reviews the Department of Homeland Security proposed rule that would rescind 2022 Biden-era public charge determination regulations. The proposed public charge changes — along with other Trump administration policy changes — will likely lead to decreased participation in public programs, including Medicaid, among a broad group of immigrant families, including citizen children in those families.

Video: Explaining the ACA Marketplace Insurance Cost Increases

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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