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KFF’s new interactive maps illustrate Medicaid enrollment by congressional district and eligibility group. In half of Republican congressional districts, at least 20% of residents are enrolled in Medicaid, and in half of Democratic districts, at least 25% are enrolled.
The 2025 reconciliation law makes sweeping changes to Medicaid that will affect every state through key eligibility and financing changes, including new work requirements, immigrant eligibility restrictions, and changes to provider taxes and state directed payments. This issue brief explains which states will be affected by each of these key provisions.
This brief describes the verification process for Medicaid work requirements in Nebraska and examines early data on outcomes for individuals subject to work requirements.
The 2025 reconciliation law includes new eligibility restrictions for many lawfully present immigrants for Medicaid and CHIP that become effective October 1, 2026. This brief provides an overview of implementation of the immigrant eligibility changes based on CMS guidance and issues to consider for affected individuals and states.
This brief describes current fiscal conditions using the latest state revenue and spending data from the National Association of State Budget Officers (NASBO) and analyzes how these conditions may impact states’ Medicaid budget decisions going forward.
This brief provides an overview of health coverage of noncitizen children to provide greater insight into the potential role of Immigrant Children’s Health Improvement Act (ICHIA) coverage in limiting the 2025 reconciliation law's impact on coverage for lawfully present immigrant children.
Medicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion. KFF's policy analysis explains why SSI applicants are particularly at risk of going uninsured under the new Medicaid rules.
State Medicaid programs must inform people affected by new work requirements with federally required notices, and most states are planning other types of outreach, including phone calls, public ads, and social media posts. This brief describes the federal outreach requirements and state plans, as well as the complexities and tight implementation timelines states face.
This analysis examines Medicaid work requirements and the implementation of medical frailty exclusions for people with HIV in light of CMS's implementing regulation.
Less than a month after CMS released its interim final rule on Medicaid work requirements, 24 states, including DC, sued the Trump administration over its interpretation of the 2025 reconciliation law’s requirements — including most notably the medical frailty exemption.
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