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Section 1115 Waiver Watch: Medicaid Services for Traditional American Indian and Alaska Native Health Care Practices

Nov 19, 2024

Issue Brief

In October 2024, the Centers for Medicare and Medicaid Services (CMS) approved the first ever Section 1115 waiver demonstration amendments that would allow Medicaid and CHIP coverage of traditional health care practices for American Indian or Alaska Native (AIAN) people in Arizona, California, New Mexico, and Oregon. This Waiver Watch reviews disparities in health and health care for AIAN people and summarizes the key features of the approved waivers.

Concerns Over Fluoride in Water and Free Speech Violations — The Monitor

Nov 26, 2024

Feature

This volume of the Monitor explores the growing opposition to water fluoridation, how misinformation about COVID-19 vaccines is influencing public health policies and trust in health authorities, and the balance between free speech and mitigating health misinformation.

The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule

Jun 23, 2026

Issue Brief

This brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption.

What to Know About Recent Federal Actions Involving State Medicaid Program Integrity

Jun 9, 2026

Issue Brief

This brief describes recent HHS actions (state-specific and nationwide) related to Medicaid program integrity and outlines some open questions about the future of Medicaid program integrity, including which states might become a focus of administration effort.

About Three in Ten Immigrants Already Report Avoiding Travel Due To Immigration-Related Fears

Dec 15, 2025

Quick Insights

Our survey shows that many immigrants are already avoiding travel and other activities due immigration-related fears, which may increase following news that TSA is sharing information with ICE.

KFF/AP Survey Probes Rural Voters’ Increasing Anxieties About the Rising Cost of Living, Including Health Costs, Heading into the Midterm Elections

Sep 23, 2026

News Release

Rural voters’ frustrations about the cost of living in their community are growing and appear to be chipping away at Republicans’ enthusiasm to vote as the midterm elections near, a new KFF/AP Survey of Rural Voters finds.

Implementing Work Requirements on a National Scale: What We Know from State Waiver Experience

May 20, 2025

Policy Watch

On May 18, the House Budget Committee advanced a budget reconciliation bill that includes significant changes to the Medicaid program. As anticipated, Medicaid work requirement provisions are included and preliminary estimates released by the Congressional Budget Office (CBO) show that this provision would reduce federal spending by $280 billion over ten years, nearly half of all estimated Medicaid savings in the bill. The provisions raise many operational and implementation questions, particularly considering the experience of…

Medicare Advantage in 2026: Enrollment Update and Key Trends

Jun 5, 2026

Issue Brief

More than half (55%) of eligible Medicare beneficiaries are enrolled in Medicare Advantage in 2026. To better understand trends in the growth of the Medicare Advantage program, this brief provides current information about enrollment, including by plan type and firm

How Will the Loss of Enhanced Premium Tax Credits Affect Older Adults?

Feb 26, 2026

Issue Brief

Adults ages 50 to 64 are disproportionately affected by the expiration of ACA enhanced premium tax credits because they make up a large number of Marketplace enrollees and premiums rise with age. Our analysis shows that older enrollees with moderate to higher incomes have been hit hardest.

Key Data on Health and Health Care for Native Hawaiian or Pacific Islander People

Dec 3, 2024

Issue Brief

Among NHPI people, there is significant variation in key factors that influence health, including health coverage, income, and homeownership, with Marshallese people faring the worst across all examined measures. Data gaps prevent the ability to fully identify and understand health disparities for NHPI people. Among available data, NHPI people fare worse than White people for the majority of measures.

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