Access to Care - Research and Data from KFF

Potential “Chilling Effects” of Public Charge and Other Immigration Policies on Medicaid and CHIP Enrollment

Dec 2, 2025

Issue Brief

This issue brief reviews the Department of Homeland Security (DHS) proposed rule that would rescind 2022 Biden-era public charge determination regulations. The proposed public charge changes along with other Trump administration policy changes will likely lead to decreased participation in public programs, including Medicaid, among a broad group of immigrant families, including citizen children in those families.

Family Planning Services for Low-Income Women: The Role of Public Programs

Dec 1, 2025

Issue Brief

This brief explains the major sources of public financing for family planning care, related policies, and their role financing services for low-income women.

State Variations in the Role of the Reproductive Health Safety Net for Contraceptive Care Among Medicaid Enrollees

Dec 1, 2025

Issue Brief

This KFF analysis uses 2023 T-MSIS Research Identifiable Files to look at where reproductive-age female Medicaid enrollees received their last contraceptive visit by state. Overall, more than four in 10 (43%) female Medicaid enrollees received their last contraceptive visit of 2023 at a safety net provider, which includes Planned Parenthood clinics, community health centers, state and local health departments, and Indian health services, but there is wide variation by state.

CMS Plans to Share Data with ICE Could Exacerbate Immigrant Families’ Fears About Accessing Health Coverage and Care

Nov 21, 2025

Quick Insights

This policy change will likely exacerbate fears among immigrant families about health officials and providers sharing patient information with ICE, increasing their reluctance to access health coverage or care.

Refugees and Asylees: Recent Changes in Access to Health Coverage and Other Assistance

Nov 21, 2025

Issue Brief

This issue brief provides an overview of refugees and asylees in the U.S., trends in refugee and asylee admissions using data from the Department of Homeland Security (DHS), and recent changes in eligibility for assistance programs for refugees and asylees.

Access Uncertain for New Injectable PrEP as the Affordable Care Act’s (ACA) Open Enrollment Begins

Nov 18, 2025

Policy Watch

This analysis examines access to, and consumers ability to find information on, a new twice annual long-acting PrEP drug during the first ACA open enrollment period since its approval. Despite the drug widely being considered a major advance, early evidence suggests that insurance coverage and benefit design decisions may create barriers to access.

KFF/New York Times 2025 Survey of Immigrants: Health and Health Care Experiences During the Second Trump Administration

Nov 18, 2025

Poll Finding

Since President Trump took office in January 2025, four in ten immigrant adults say they have experienced negative health impacts due to immigration-related worries and about one in five say their child’s well-being has been impacted. Many also report skipping or delaying health care and avoiding applying for or stopping participation in government assistance programs, with some of the largest impacts among likely undocumented immigrants and immigrant parents.

Sex Education Programs: Definitions, Funding, and Impact on Teen Sexual Health

Oct 30, 2025

Issue Brief

This issue brief reviews the major sex education models and funding streams that are most commonly used, highlights state policies on sex education, and summarizes what is known about the impact of these programs and policies on teen sexual behavior and health outcomes.

Will Trump’s Announcement Expand Access to IVF?

Oct 27, 2025

Policy Watch

The White House announcement focused on reducing the cost of some IVF drugs and clarifying options for employers to offer standalone fertility benefits for their employees and their dependents. This policy watch examines some key takeaways about the Trump IVF plan.

Medicare Advantage Enrollees Have Access to About Half of the Physicians Available to Traditional Medicare Beneficiaries

Oct 27, 2025

Issue Brief

Medicare Advantage enrollees were in a plan that included just under half (48%) of all physicians available to traditional Medicare beneficiaries in their area in 2022, on average. The limitations of provider networks illustrate one of the key tradeoffs for beneficiaries in choosing Medicare Advantage for their coverage.

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