View the Latest: Program on Medicaid and the Uninsured
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CMS Phasing Out Medicaid Workforce Initiatives
Policy WatchOn July 11, CMS notified states that, going forward, it does not anticipate approving new 1115 demonstration workforce initiatives or extending existing waivers. Such changes may limit states’ abilities to pursue initiatives investing in the Medicaid workforce.
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How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State?
Issue BriefThis analysis apportions the increase in the number of uninsured across the 50 states and DC. CBO estimates that the reconciliation law will increase the number of uninsured by 10M in 2034 and rise to over 14M if enhanced premium tax credits for ACA Marketplace enrollees expire later this year.
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A Look at the New Executive Order and the Intersection of Homelessness and Mental Illness
Policy WatchThis brief describes the new executive order, examines the intersection of homelessness and mental illness, reviews the history of the deinstitutionalization movement, and discusses specialized treatment services for people with SMI.
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Prior Authorization Process Policies in Medicaid Managed Care: Findings from a Survey of State Medicaid Programs
Issue BriefThis brief examines state policies related to prior authorization processes in Medicaid managed care and includes findings about how states approach prior authorization decision timeframes, electronic denial notices, and access to external medical reviews, all as of July 1, 2024.
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Kindergarten Routine Vaccination Rates Continue to Decline
Issue BriefThis issue brief provides an update on the latest trends in kindergarten children's routine vaccination and exemption rates. Over three-quarters (39) of states had measles, mumps, rubella (MMR)vaccination rates below the “target” rate of 95% for the 2024-2025 school year.
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A Closer Look at the Work Requirement Provisions in the 2025 Federal Budget Reconciliation Law
Issue BriefOn July 4, President Trump signed into law a budget reconciliation package once called the “One Big, Beautiful Bill” that includes significant changes to the Medicaid program. This issue brief provides an overview of the Medicaid work requirement provisions.
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How Might Federal Medicaid Cuts in the Enacted Reconciliation Package Affect Rural Areas?
Policy WatchUnder the reconciliation package, federal Medicaid spending in rural areas is estimated to decline by $137 billion, more than the $50 billion appropriated for the rural health fund.
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Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Enacted Reconciliation Package
Issue BriefThis analysis allocates the CBO’s estimated reduction in federal spending in the enacted reconciliation package across states based on KFF’s state-level data and where possible, prior modeling work; and shows the federal spending reductions relative to KFF’s projections of federal spending by state under current law.
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Demand for 988 Continues to Grow at Third Anniversary
Policy WatchThis policy watch examines 988 on its third anniversary, drawing from the latest Lifeline data available through May 2025 and suicide death data from CDC WONDER for the period 2013 to 2023. 988 received 16.5 million contacts since its launch in July 2022, including 11.2 million calls, 2.9 million texts, and 2.4 million chats.