Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV
This analysis examines Medicaid work requirements and the implementation of medical frailty exclusions for people with HIV in light of CMS's implementing regulation.
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States Sue CMS Over Medicaid Work Requirements Rule, Citing Departure from Earlier Guidance on Medical Frailty
Quick InsightsLess 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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Tennessee Plans to Share Data on Children with Disabilities with Immigration Authorities
Policy WatchThis policy watch discusses a recent Tennessee law that requires the sharing of data for applicants and/or enrollees for the state's public assistance programs who do not have a qualified immigration status with immigration authorities, including for those enrolled in the state's Children's Special Services program, which serves children with disabilities.
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The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule
Issue BriefThis brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption.
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Key Facts about the Uninsured Population
Issue BriefThe number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF's analysis of data from the American Community Survey (ACS). This issue brief describes trends in health coverage in 2024, examines the characteristics of the uninsured population , and summarizes the access and financial implications of not having coverage.
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Recent State Actions Related to Immigrants’ Access to Services and Immigration Enforcement
Issue BriefThis brief summarizes recent and proposed actions by states related to access to state-funded health coverage and other services for immigrants and immigration enforcement activity during the 2025 and 2026 state legislative sessions.
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A Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls
Policy WatchThis policy watch provides initial insight into how North Carolina is preparing to implement certain Medicaid provisions of the 2025 reconciliation law and how other policy changes may affect coverage and access to care.
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State Health Coverage for Immigrants and Implications for Health Coverage and Care
Issue BriefNoncitizen immigrants, particularly those who are undocumented, face significant barriers to accessing health coverage and care and are significantly more likely than citizens to be uninsured. This brief provides an overview of state health coverage programs for immigrants, including among states that have taken up options in Medicaid and the Children’s Health Insurance Program (CHIP) to expand coverage for lawfully present immigrants and/or established fully state-funded programs to fill gaps in coverage for immigrants.
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A Look at the High Unemployment Hardship Exception to Medicaid Work Requirements Based on Unemployment Data from February 2025 to January 2026
Policy WatchIn the 39 states that are adopting or may adopt the high unemployment hardship exception, about 1.4 million or 7.5% of Medicaid expansion enrollees live in one of the 133 counties that currently meet the high-unemployment criteria.
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Medicaid Changes in House and Senate Reconciliation Bills Would Increase Costs for 1.3 Million Low-Income Medicare Beneficiaries
Issue BriefOn May 22, the House passed a reconciliation bill, the One Big Beautiful Bill Act, which would partially pay to extend expiring tax cuts by cutting Medicaid. The Congressional Budget Office (CBO) estimates that the bill would reduce federal Medicaid spending by $793 billion over ten years and 10.3 million fewer people would be enrolled in Medicaid in 2034, including 1.3 million people with Medicare, otherwise known as “dual-eligible individuals”.