Access to Care - Research and Data from KFF

Insurers’ Preliminary Rate Filings Anticipate Biggest Increases in ACA Marketplace Plan Premiums Since 2018

Jul 18, 2025

News Release

This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration of enhanced tax credits and impact of tariffs on some drugs, medical equipment, and supplies are among the factors pushing premiums higher

Health Care Access and Financial Barriers Among LGBT People Amidst Looming Health Care Cuts

Jul 17, 2025

Issue Brief

This brief reviews new data from the May 2025 KFF Health Tracking Poll on LGBT adult’s experiences and concerns related to health care affordability. Overall, the findings show that LGBT adults face more widespread problems and concerns with health care affordability compared to non-LGBT adults.

Access to OB-GYNs: Evaluating Workforce Supply and ACA Marketplace Networks

Jul 10, 2025

Issue Brief

This brief examines the supply of OB-GYNs in the U.S. and the share of OB-GYNs participating in the provider networks of Qualified Health Plans (QHPs) offered in the individual market in the federal and state Affordable Care Act (ACA) Marketplaces in 2021.

We’ve Never Seen Health Care Cuts This Big

Jul 1, 2025

Perspective

In this July 1 column for The New York Times Opinion section, KFF Executive Vice President for Health Policy Larry Levitt explains how the budget reconciliation bill passed by the Senate on July 1 is effectively a partial repeal of the Affordable Care Act (ACA) and, if signed into law, the resulting reductions in Medicaid…

5 Key Facts About Medicaid and Veterans

Jun 30, 2025

Issue Brief

Medicaid helps fill gaps in coverage for veterans who are low-income, have disabilities, or are otherwise ineligible for military health benefits. It supports those with complex health needs and reduces out-of-pocket expenses. This brief presents five key facts about veterans with Medicaid and how policy changes in Congress could affect their coverage and access to care.

Kennedy v. Braidwood: The Supreme Court Upheld ACA Preventive Services but That’s Not the End of the Story

Jun 27, 2025

Policy Watch

On June 27, 2025, the U.S. Supreme Court issued its opinion on Kennedy v. Braidwood Management, ruling that the ACA requirement that most private insurers and Medicaid expansion programs cover preventive services recommended by the United States Preventive Services Task Force (USPSTF) with no cost-sharing is constitutional.

Implications of Medicaid Work and Reporting Requirements for Adults with Mental Health or Substance Use Disorders

Jun 23, 2025

Issue Brief

This brief describes key challenges that Medicaid work requirements may pose for adults with mental health or substance use disorders. In May, the House passed a budget reconciliation bill that includes national Medicaid work requirements for adults in the Affordable Care Act (ACA) expansion group.

This quote card image is an excerpt from Ashley Kirzinger's quick take. In blue text against a white background, it reads: "While many working Medicaid enrollees would meet the work hours requirements, many would likely lose their coverage due to the reporting requirements... Our polling finds that most of Medicaid’s working population say losing their coverage would have direct consequences for their financial and personal well-being."

Working Medicaid Enrollees Value Work But Are Wary About Work Requirements When Told About Paperwork Burden

Jun 20, 2025

Quick Take

Our polling finds that most of Medicaid’s working population say losing their coverage would have direct consequences for their financial and personal well-being.

What are the Implications of the Skrmetti Ruling for Minors’ Access to Gender Affirming Care?

Jun 18, 2025

Policy Watch

This policy watch examines the June 18 Supreme Court ruling upholding a Tennessee ban on gender-affirming care for transgender youth in the case of the United States v. Skrmetti, how it will affect access in other states with similar bans, and other implications.

This quote card of Emma Wager's quick take is white background with a purple border and matching purple text. The excerpt reads, "Taken together, the reconciliation bill's provisions impose additional administrative burdens on State-Based Marketplaces and could limit state flexibility in choosing marketplace policies and procedures."

How the Reconciliation Bill Limits States’ Authority Over ACA Insurance Markets

Jun 13, 2025

Quick Take

Taken together, the reconciliation bill's provisions impose additional administrative burdens on state-based marketplaces and could limit state flexibility in choosing marketplace policies and procedures.

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