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An Overview of Medicaid Work Requirements: What Happened Under the Trump and Biden Administrations?
The Trump Administration aimed to reshape the Medicaid program by newly approving Section 1115 demonstration waivers that imposed work and reporting requirements as a condition of Medicaid eligibility. However, courts struck down many of these approvals and the Supreme Court recently dismissed pending challenges in these cases. Available implementation data suggests that work requirements were confusing to enrollees and result in substantial coverage loss, including among eligible individuals.
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Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview map and figure, detailed waiver topic tables, and explanatory briefs.
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Abortion at the Supreme Court
On May 2, news media reported a leaked draft of the Supreme Court majority decision for the Dobbs v. Jackson Women’s Health Organization, showing the Court plans to completely overturn Roe v. Wade. The draft opinion is not yet final and abortion remains legal nationwide for now. The final Court decision is…
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PrEP Access in the United States: The Role of Telehealth
This brief provides an overview of the tele-PrEP landscape, including how PrEP services (e.g., consults, lab work, prescribing, and monitoring) are provided and factors that facilitate its provision as well as barriers that remain. It is based on in-depth interviews with representatives from the major national telehealth companies providing tele-PrEP and other select tele-PrEP programs.
Issue Brief Read More New KFF Brief Takes a Closer Look at “Tele-PrEP” and the Future of PrEP Services in the United States
In 2020, only 25% of people who could benefit from pre-exposure prophylaxis (PrEP), a medication that reduces the risk of acquiring HIV, were prescribed it. Using telehealth to provide PrEP, “tele-PrEP,” is a new approach that shows potential for expanding access to PrEP use in the United States that predates…
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Analysis of Recent National Trends in Medicaid and CHIP Enrollment
This data note looks at national and state-by-state Medicaid and CHIP enrollment data through January 2022, when the daily number of new COVID-19 cases reached the height of the pandemic due to the Omicron variant. After declines in enrollment from 2017 through 2019, preliminary data for January 2022 show that total Medicaid/CHIP enrollment grew to 87.0 million, an increase of 15.7 million from enrollment in February 2020 (22.1%), right before the pandemic and when enrollment began to steadily increase (Figure 1).
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Medicaid Administrative Data: Challenges with Race, Ethnicity, and Other Demographic Variables
There are persistent disparities in health and health care for people of color, which reflect structural and systemic inequities rooted in racism and discrimination. High-quality comprehensive data are key to enabling policymakers, community leaders, and other key stakeholders to identify and address these inequities and measure progress over time. Medicaid/CHIP administrative data, also known as Transformed Medicaid Statistical Information System (T-MSIS) or TAF (T-MSIS Analytic File), hold the potential to inform disparities research through detailed demographic, service utilization, and spending data of Medicaid and CHIP beneficiaries —but there are current limitations.
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Status of State Medicaid Expansion Decisions: Interactive Map
This page displays an interactive map of the current status of state decisions on the Affordable Care Act’s Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.
Issue Brief Read More New Interactive Provides Essential Facts and Trends Related to Medicare Spending
A new KFF interactive provides essential facts and trends about spending on Medicare, the federal health insurance program that covers 65 million seniors and people with disabilities, or nearly 1 in 5 Americans. In 2020, Medicare spending accounted for 12 percent of the federal budget and 20 percent of national…
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April 26 Web Event: The Future of Mental Health Coverage & Access
Increased social isolation, stress, and unemployment as a result of the COVID-19 pandemic have contributed to a rise in mental health issues and substance use disorders (SUD) in the U.S. The impact of the pandemic has been particularly concerning for kids, as KFF’s most recent COVID Vaccine Monitor reported…
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