Policy Watch
Quick-hitting policy analysis, polling, and updates on the key issues facing the country.
What Does the Future Hold for the Ending the HIV Epidemic Initiative (EHE)?
This analysis examines what the Ending the HIV Epidemic (EHE) initiative has done to date and what its future might look like under the second Trump administration.
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The Effect of Delaying the Selection of Small Molecule Drugs for Medicare Drug Price Negotiation
In a new Trump administration executive order, the Secretary of HHS is directed to work with Congress to implement a change in law to delay negotiation of so-called “small molecule” drugs under the Inflation Reduction Act’s Medicare Drug Price Negotiation Program for an additional 4 years. This brief analyzes how many of the drugs previously selected for negotiation would not have been eligible if this policy had been in place at the time.
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Texas Judge Overturns Controversial Nursing Facility Staffing Rule
On Monday, April 7, Judge Matthew Kacsmaryk in the US District Court for Northern Texas ruled to overturn key elements of a Biden administration rule that established the first-ever minimum staffing ratios for nursing facilities.
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What Do Federal Staffing Cuts and HHS Restructuring Mean for the Nation’s HIV Response?
This policy watch examines the impact of federal staff cuts and HHS restructuring on the nation’s HIV response.
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The USAID List of Terminated Global Health Awards – What Does it Tell Us?
This policy watch examines the USAID list of terminated awards, recently sent Congress, to examine the implications for global health programs and outstanding questions.
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Enrollment Growth in the ACA Marketplaces
This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election. In six states, enrollment more than tripled from 2020 to 2025: Texas, Mississippi, West Virginia, Louisiana, Georgia, and Tennessee.
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