Quick Insights Archive

The Biggest Rollback in Federal Support for Health Coverage Ever

Jun 10, 2025

Republicans are not talking about repealing and replacing the ACA anymore, and the budget reconciliation bill doesn't do that, at least not directly. However, the bill would restrict health insurance for many people who have been helped by the ACA, and it would be the biggest rollback in federal support for health coverage ever.

An Additional 8.2 Million People are Expected to Be Uninsured from Changes in the ACA Marketplaces

Jun 10, 2025

Jared Ortaliza

ACA Marketplace changes are technical and numerous but consequential. While more attention has been focused on cuts to Medicaid, upcoming changes to the ACA Marketplaces could lead to just as many people losing health insurance coverage.

Last-minute House Reconciliation Provision Would Set Up Clash with States over Marketplace Abortion Coverage

May 23, 2025

Laurie Sobel

Insurers in 12 states that require abortion coverage would not be able to access federal funding for reduced cost-sharing under the House provision. How this would get resolved, and what would happen to abortion coverage for low-income ACA enrollees in these states, is unclear.

House Bill Would Penalize More States for Covering Immigrants, Including Lawfully Residing Children and Pregnant People

May 22, 2025

Samantha Artiga

A revision made to the bill before it was considered by the Rules committee expanded the penalty from 14 states and DC that cover undocumented immigrants with state funds to 33 states and DC that use a federal option available in Medicaid and/or CHIP to expand coverage for lawfully residing children and/or pregnant people.

House Reconciliation Bill Could Trigger $500 Billion in Mandatory Medicare Cuts

May 21, 2025

Jeannie Fuglesten Biniek

If enacted into law in its current form, and Congress takes no further action, [the House reconciliation bill's] increase in the deficit would trigger mandatory cuts, also known as sequestration, under the Statutory Pay-As-You-Go Act of 2010.

How Could FDA’s New Guidance Affect COVID-19 Vaccination Coverage in the U.S.?

May 21, 2025

Josh Michaud

Taken together, the new guidance on clinical trial requirements, the more restricted approval of the Novavax vaccine, and anticipated changes to CDC recommendations add up to fewer Americans eligible for COVID-19 vaccines and more limited access to these vaccines compared to previous years...such a shift would place the U.S. more in line with Australia, Canada, and countries in Europe.

Opioid Deaths Are Falling, Though Proposed Medicaid Changes Could Disrupt Access to Treatment

May 16, 2025

Heather Saunders

Recent federal proposals may affect Medicaid coverage and treatment access at a time when opioid deaths are declining but future trends are uncertain.

Which States Would Be Affected by a House Proposal to Cut Federal Medicaid Funding for States That Cover Undocumented Immigrants?

May 13, 2025

Samantha Artiga

KFF data show that as of April 2025, 14 states plus DC use state-only dollars to provide health coverage to children regardless of immigration status, including 7 states that also do so for at least some adults.

Will President Trump’s Executive Order Lower Drug Prices?

May 12, 2025

Juliette Cubanski

Ultimately, assessing the impact of President Trump’s newest iteration of “Most Favored Nation” drug pricing depends on details that have yet to be fleshed out.

Scaling Back the Nation’s HIV Response? What the Trump Administration’s HHS Budget May Do

Apr 17, 2025

Jennifer Kates

Taken together, if approved, these proposed budget cuts and other changes would fundamentally alter the nation’s HIV response which, along with the many other changes being proposed at HHS, does not bode well for making further gains in the fight against HIV.

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