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  • Working-Age Adults with Disabilities Living in the Community

    Issue Brief

    In September 2023, the National Institutes of Health designated people with disabilities as a population experiencing health disparities, which will help ensure that people with disabilities are represented in research funded by the National Institutes. Also in September of 2023, the Biden Administration proposed a new rule that would update the requirements for nondiscrimination on the basis of disability. Among other changes, the proposed rule would codify the Olmstead court decision, which requires people with…

  • What 2024 Could Bring for Working-Age Adults with Disabilities 

    News Release

    As the 25th anniversary of Olmstead nears, more than one-in-10 working age adults have a disability and most do not receive public disability income.  Over one-in-10 working-age adults reported having a disability in 2022. A disability is defined as having difficulty with hearing, vision, cognition, ambulation, self-care, or independent living, according to KFF's examination of data on people with disabilities from the American Community Survey. Fewer than a third of working-age adults with disabilities receive…

  • Tough Tradeoffs Under Republican Work Requirement Plan: Some People Lose Medicaid or States Could Pay to Maintain Coverage

    Issue Brief

    On April 26, 2023, the House of Representatives passed a Republican debt ceiling bill (HR 2811, the Limit, Save, Grow Act of 2023) that includes a requirement for states to implement work requirements for certain Medicaid enrollees. We provide estimates for the rate of Medicaid eligibility loss based on Congressional Budget Office (CBO) projections as well as estimates for the cost to states if they maintained coverage for all ineligible participants in 2024.

  • Will Long COVID Exacerbate Existing Disparities in Health and Employment?

    Policy Watch

    Rates of self-reported long COVID are one-quarter to one-third higher among adults who are female, transgender, Hispanic, and without a high-school degree than among all adults, according to federal survey data. In this policy watch, we consider whether long COVID could exacerbate existing disparities in health and employment.

  • Medicaid Work Requirements: What Happened under the Trump and Biden Administrations?

    News Release

    In a new brief, KFF analysts explain and summarize the recent history of efforts to make work requirements a condition of eligibility for Medicaid in some states. Following years of administrative, political, and legal activity across two presidential administrations, recent Supreme Court action and skepticism about work requirements by the Biden administration signals a pause in efforts to reshape state Medicaid programs in this fashion. The Trump Administration opened the door to such efforts by…

  • An Overview of Medicaid Work Requirements: What Happened Under the Trump and Biden Administrations?

    Issue Brief

    The Trump Administration aimed to reshape the Medicaid program by newly approving Section 1115 demonstration waivers that imposed work and reporting requirements as a condition of Medicaid eligibility. However, courts struck down many of these approvals and the Supreme Court recently dismissed pending challenges in these cases. Available implementation data suggests that work requirements were confusing to enrollees and result in substantial coverage loss, including among eligible individuals.