Tracking Insurer Participation Changes in the ACA Marketplaces in 2027
This interactive tracks announced insurer exits from and entries into the ACA Marketplaces for 2027.
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A Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls
Policy WatchThis policy watch provides initial insight into how North Carolina is preparing to implement certain Medicaid provisions of the 2025 reconciliation law and how other policy changes may affect coverage and access to care.
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Is The U.S. Stepping Up In The Fight Against Ebola?
Policy WatchThis policy watch looks at the major new Ebola outbreak in DRC, discusses how the U.S. government has responded so far, and describes how the current situation compares to prior U.S. Ebola responses.
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Texas Emerges as Focus of New Trump Administration Actions to Limit Gender-Affirming Care
Policy WatchThis analysis explores recent actions the Trump administration has taken to limit youth access to gender-affirming care. Each has a connection to the Justice Department and to the state of Texas. These measures are widely seen as an escalation in this policy area and could add to the chilling effect already characterizing the provision of gender affirming care.
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A Look at the High Unemployment Hardship Exception to Medicaid Work Requirements Based on Unemployment Data from February 2025 to January 2026
Policy WatchIn the 39 states that are adopting or may adopt the high unemployment hardship exception, about 1.4 million or 7.5% of Medicaid expansion enrollees live in one of the 133 counties that currently meet the high-unemployment criteria.
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Measles Elimination Status: What It Is and How the U.S. Could Lose It
Policy WatchThis policy watch examines the United States’ measles elimination status, including what it means to eliminate measles, whether the current measles outbreak could threaten the country’s measles elimination status, and what losing that status might mean for measles control.
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Constrained Budgets Lead States to Restrict HIV Drug Access Through Ryan White
Policy WatchStates are facing constrained budgets, putting pressure on HIV programs, including the Ryan White HIV/AIDS Program. This Policy Watch explores how state Ryan White AIDS Drug Assistance Programs (ADAPs) are responding to these budget pressures, including by restricting eligibility and reducing the scope of services offered, actions that could led to negative health outcomes for people with HIV and lead to new HIV infections.
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Filling in the Gap in Federal Medicaid Funding to Planned Parenthood: State Responses
Policy WatchThis brief examines efforts in 11 states to fill in funding gaps created by the 2025 federal budget reconciliation law, which prohibits federal Medicaid funding for reproductive-health care services provided by Planned Parenthood and other organizations that also provide abortion care.
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What Newly Released Medicaid Data Do and Don’t Tell Us
Policy WatchOn February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to identify unusual billing patterns for specific services, states, or providers. This policy watch describes what the data include, what they exclude, and how they could potentially lead to mistaken conclusions given the limitations of the data.
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Comparing States’ Rural Health Fund Allotments to Medicaid Spending Cuts Can be Misleading
Policy WatchThis issue brief explains why it can be misleading to compare the first year of Rural Health Transformation Program allocations with estimated Medicaid cuts, which will be implemented on a gradual basis and not fully take effect until 2027, after the rural health fund is exhausted.