Medicaid: What to Watch in 2025
In 2025, many issues are at play that could affect Medicaid coverage, financing, and access to care.
View the Latest: Federal Budget
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House GOP Eyeing Cuts of Nearly One-Third in Projected Federal Medicaid Spending
Quick TakeHouse Republicans are considering deficit reductions of $5.5 trillion, which includes $2.3 trillion cuts in Medicaid… Cuts of this magnitude would put states at financial risk, forcing them to raise new revenues or reduce Medicaid spending
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Expansions to Health Savings Accounts in House Budget Reconciliation: Unpacking the Provisions and Costs to Taxpayers
Policy WatchThe House budget reconciliation bill contains various expansions to Health Savings Accounts (HSAs). This policy watch explains what HSAs are, how they have been used, what the key changes to HSAs would be, and how much they would cost the federal government.
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Marketplace Enrollees with Unpredictable Incomes Could Face Bigger Penalties Under House Reconciliation Bill Provision
Issue BriefThis analysis illustrates how provisions included in the House budget reconciliation bill could expose Marketplace enrollees with unpredictable incomes to higher penalties when filing taxes if they underestimate their incomes. About one in four potential Marketplace shoppers had incomes that varied at least 20 percent from the beginning to the end of the year.
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White House Releases FY26 Budget Request
Fact SheetOn May 2, 2025, the White House released preliminary details of its FY26 budget request, including funding for global health activities at the State Department, U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and the Fogarty International Center (FIC) at National Institutes of Health (NIH).
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Again, No Medicaid
From Drew AltmanIn his latest column, KFF President and CEO Drew Altman explains why Medicaid, despite former President Donald Trump's silence on the topic, warrants greater attention given the potential for drastic changes or cuts to it should Republicans win control in the election.
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5 Key Facts About Medicaid Program Integrity – Fraud, Waste, Abuse and Improper Payments
Issue BriefProgram integrity efforts work to prevent and detect fraud, waste, and abuse, to increase program transparency and accountability, and to recover improperly used funds. This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.
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The Outlook for PEPFAR in 2025 and Beyond
Policy WatchPEPFAR, the U.S. global HIV/AIDS program, is - for the first time in its two-decade history - facing significant challenges that could impede its ability to fulfill its mission. This policy brief provides an overview of recent events and ongoing challenges facing the program.
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Reconciliation Language Could Lead To Cuts in Medicaid State-Directed Payments to Hospitals and Nursing Facilities
Issue BriefThe Senate Finance Committee’s reconciliation language would reduce existing state-directed payments to hospitals and nursing facilities over time until they are at or slightly above Medicare rates. This analysis identifies states that might have to reduce payment rates for hospitals or nursing facilities if the language is passed into law.
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How Will the One Big Beautiful Bill Act Affect the ACA, Medicaid, and the Uninsured Rate?
Policy WatchThis analysis details the number of people who would become uninsured from policy changes in the ACA Marketplaces and Medicaid. The Congressional Budget Office estimates that, taken together, these changes will result in 16 million more uninsured people in the year 2034 than would otherwise be the case.