Policy Watch

Quick-hitting policy analysis, polling, and updates on the key issues facing the country.

Where ACA Marketplace Enrollment is Growing the Fastest, and Why

In 2024, Affordable Care Act (ACA) Marketplace enrollment hit a new record high, reaching over 21 million people. This policy watch discusses the the factors contributing to the increased enrollment in the fastest growing marketplaces.

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With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule

This analysis uses the most recently-available data to examine the percentage of nursing facilities that currently meet the minimum staffing requirements in the final rule.

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PEPFAR’s Short-Term Reauthorization Sets an Uncertain Course for Its Long-Term Future

With the new omnibus bill, PEPFAR has been reauthorized until March 25, 2025, without the inclusion of any controversial provisions or changes related to abortion, sought by some. Still, while this latest step provides the program with some short-term certainty, including signaling bipartisan support (albeit limited), it marks a significant departure from PEPFAR’s past.

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Medicare Spending on Ozempic and Other GLP-1s Is Skyrocketing

This policy watch analyzes the latest data on Medicare Part D spending on GLP-1 drugs, initially approved to treat diabetes but in high demand as treatments for obesity, and shows how spending on these drugs has increased substantially in recent years.

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A Closer Look at Medicaid Expansion Efforts in Mississippi

This policy watch examines Mississippi’s recent Medicaid expansion activity, what expansion could mean for residents and the economy, and key developments to watch.

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Access to Adult Dental Care Gets Renewed Focus in ACA Marketplace Proposal

Adult dental care can lead to high out of pocket costs for consumers, especially for those with private insurance coverage. This post analyzes a proposed provision in the HHS Notice of Benefit and Payment Parameters for 2025, and possible implications for consumers who have Marketplace coverage.

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The independent source for health policy research, polling, and news, KFF is a nonprofit organization based in San Francisco, California.