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  • Number of States Affected by Key Medicaid Provisions in the 2025 Reconciliation Law

    Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?

    Policy Watch

    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.

  • Midterm Election Update: The Affordable Care Act Marketplaces

    Fact Sheet

    More people than ever got coverage through the Affordable Care Act (ACA) Marketplaces in 2025, but the expiration of enhanced premium tax credits has driven up what people pay and contributed to declining enrollment in 2026. Law and regulatory changes also tightened ACA eligibility and enrollment requirements. Public opinion of the ACA remains generally favorable, although views remain divided along partisan lines.

  • Community Health Center Patients, Financing, and Services

    Issue Brief

    Community health centers served more than 32.7 million patients in medically underserved urban and rural areas in 2025. This brief reports on health center patients, services, and financing in 2025, using national data from the Uniform Data System (UDS).

  • The Number of States with Waiting Lists or Interest Lists for Medicaid Home Care Has Been Fairly Stable Since 2016

    A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2026

    Issue Brief

    This data note provides new information about waiting lists from KFF’s most recent survey of state Medicaid home care programs, including a discussion of why waiting lists are an incomplete measure of unmet need and why they are not necessarily comparable across states or over time, despite KFF’s efforts to obtain as consistent data as possible.

  • Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements

    Feature

    KFF's interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. The tracker includes state-level data on Medicaid enrollment and renewal outcomes as well as current state enrollment and renewal policies.

  • A Closer Look at the $50 Billion Rural Health Transformation Program

    Issue Brief

    The 2025 budget reconciliation created the Rural Health Transformation Program, which will award $50 billion in state grants over a five-year period. This brief provides an overview of the program, describing its structure, how funds can be used, how funding compares to Medicaid spending reductions in the reconciliation law, and how the funds are being distributed across and within states.

  • State Fiscal Conditions Are Tightening: 11 States Experienced Reductions in General Fund Spending in FY 2026

    State Fiscal Conditions: Context on Medicaid Budgets for FY 2027

    Issue Brief

    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.