Medicaid Enrollment & Spending Growth: FY 2025 & 2026
This brief analyzes Medicaid enrollment and spending trends for FY 2025 and FY 2026, based on data provided by state Medicaid directors as part of the 25th annual survey of Medicaid directors.
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A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2025
Issue BriefThis data note provides new information about waiting lists in Medicaid home care before many of the provisions in the 2025 reconciliation law go into effect. The data come from KFF's 23rd survey of officials administering Medicaid home care programs in all 50 states and DC.
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Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements
FeatureKFF'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.
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Congressional District Interactive Map: People with Medicare and Medicaid (Dual-Eligible Individuals)
Issue BriefThe interactive maps illustrate how many people are enrolled in Medicare and Medicaid in each congressional district, including the number of people receiving full Medicaid and partial Medicaid benefits.
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What to Know About the Older Americans Act and the Services it Provides to Older Adults
Issue BriefThe Trump administration is proposing a reorganization and staffing cuts at HHS that create uncertainty about the potential effects on older adults, who receive services authorized under the Older Americans Act. This brief provides an overview of programs and services provided under the Older Americans Act, the role played by the Administration for Community Living in administering these programs, and trends in program funding and service utilization by older adults.
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House Reconciliation Bill Could Trigger $500 Billion in Mandatory Medicare Cuts
Quick TakeIf enacted into law in its current form, and Congress takes no further action, [the House reconciliation bill's] increase in the deficit would trigger mandatory cuts, also known as sequestration, under the Statutory Pay-As-You-Go Act of 2010.
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Clues From Polling About How Opinion Might Change If We Had More Informed Health Policy Debate?
From Drew AltmanIn a new column, Dr. Drew Altman, KFF’s President and CEO, discusses the limits of polling on policy, and what we have learned over more than 30 years of polling about how giving people more information and arraying tradeoffs can change opinion, including on the health policy changes and funding cuts in the current reconciliation bill.
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Which States Might have to Reduce Provider Taxes Under the Senate Reconciliation Bill?
Policy WatchIf Congress passes the reconciliation bill with the Finance Committee provision, 22 states might have to reduce their provider taxes on either hospitals or managed care organizations, cutting a key source of state Medicaid funding in those states. This policy watch explains how the Finance Committee provision would reduce states’ Medicaid spending, and the implications for expansion states.
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Senate Finance Language Would Further Cut Federal Spending for Medicaid Expansion States
Policy WatchPrior KFF analysis allocated CBO’s federal Medicaid spending reductions and enrollment losses across the states, and this policy watch builds on that analysis to examine the potential impacts in expansion states compared with non-expansion states.
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The Mystery of How Many People Are on Medicaid
From Drew AltmanIn a new column, Dr. Drew Altman, KFF's President and CEO, examines the different counts of the number of people on Medicaid that are currently in use, which range from 69 to 83 million, and why it might matter. He also discusses other ways to assess the reach of the program: “possibly it’s useful to explain why there are different numbers out there about what seemingly is an all-time simple question: how many people are on Medicaid,” Altman says.