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This 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.
Nebraska is the first state to announce it plans to begin enforcing Medicaid work requirements early, starting May 1, 2026. Initial reports from the state during its recent January Medicaid Advisory Committee (MAC) meeting and data from KFF’s Medicaid work requirements tracker provide early insights into how Nebraska is preparing for implementation.
This policy watch discusses the implications for the U.S. health care workforce of the recent DOS immigrant visa pause for individuals from 75 countries deemed more likely to be a public charge.
Starting in May of last year, HHS Secretary Kennedy and the CDC/ACIP began to make changes to the federal vaccine schedule for children, culminating in an announcement on January 5 of this year with the most wide-ranging changes to date. This policy brief tracks the number of states that have announced they are no longer following federal government recommendations for childhood vaccines as of January 20, 2026.
After failed Senate votes late last year and no subsequent bipartisan agreement, the enhanced premium tax credits expired as of January 1. Some states, particularly those operating State-Based Marketplaces (SBMs), have been preparing for this possibility for months and are moving to blunt the impact on consumers by implementing their own state-funded subsidies and implementing other programs aimed at stabilizing the cost of unsubsidized premiums.
This brief looks at newly announced changes by HHS to the pediatric vaccination schedule, which reduce the number of vaccines recommended for all children. Implications of these changes for childhood vaccination rates and trust in public health are discussed.
This policy watch describes recent Trump administration changes to Medicaid vaccine reporting requirements and explores what the end of state reporting requirements may mean for how the U.S. tracks childhood vaccinations rates.
This 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.
This policy watch evaluates state awards through the rural health fund in 2026, the first year of the program. The analysis shows relatively modest variations in total awards this year across states but wide variation in how much states will receive per rural resident.
This policy watch provides an overview of recent changes to federal vaccine recommendations in the U.S. and what they mean for insurance coverage.
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