Affordable Care Act Signups Are Down, But Still an Incomplete Picture
KFF’s Jared Ortaliza explains why it will likely be several more months before there’s a more complete picture of the state of ACA Marketplace enrollment.
Timely insights and analysis from KFF staff
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The updated federal alcohol guidelines simply advise adults to “consume less for better overall health” without specifying limits – a change that could portend a renewed rise in alcohol-related deaths. more
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Adopting Denmark’s vaccine schedule, as HHS Secretary Kennedy’s vaccine advisors have suggested, would likely lower childhood vaccination rates in the U.S. as certain vaccines become harder to access. more
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The expiration of enhanced ACA tax credits is reshaping coverage decisions for Marketplace enrollees, and in a recent KFF survey, Marketplace enrollees told us how rising premiums could affect insurance choices, affordability, and political attitudes. more
Heather Saunders 
Josh Michaud 
Grace Sparks new and noteworthy
State Efforts to Fill in Federal Funding Gaps for Planned Parenthood
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.
From Larry Levitt: How Unaffordable is Health Care?
In a new column for JAMA Health Forum, Larry Levitt explores how unaffordable health care is in the context of the debate over extending enhanced ACA premium tax credits and an upcoming election where affordability will likely be front and center.
Overview of Proposals that Further Limit Youth Gender-Affirming Care
New proposed rules affecting most hospitals and separately changing Medicaid coverage would further limit youth access to gender-affirming care. This brief explains the proposals’ details and the challenges they would pose for transgender youth.
Examining State-By-State Awards for Rural Health Transformation
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 across states, but wide variation in how much states will receive per rural resident.
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