Medicaid: What to Watch in 2025
In 2025, many issues are at play that could affect Medicaid coverage, financing, and access to care.
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How Might Federal Medicaid Cuts in the Enacted Reconciliation Package Affect Rural Areas?
Policy WatchUnder the reconciliation package, federal Medicaid spending in rural areas is estimated to decline by $137 billion, more than the $50 billion appropriated for the rural health fund.
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A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law
Issue BriefThe new reconciliation law includes a $50 billion rural health fund. This brief describes the rural health fund, explains what the law says about the allocation of funds, and highlights outstanding questions about how the funds will be distributed across and within states to pay rural hospitals and for other purposes.
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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.
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KFF Health Tracking Poll: Views of the One Big Beautiful Bill
FeatureThis poll finds two-thirds of the public view the "One Big Beautiful Bill" legislation unfavorably, and its favorability erodes further when people hear about its potential health impacts. As Congress debates changes to Medicaid and the ACA as part of the bill, each program's popularity is at a record high.
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Domestic HIV Funding in the White House FY2026 Budget Request
Issue BriefThis brief provides an overview of the FY26 budget request for domestic HIV and compares it to funding levels in the FY25 continuing resolution.
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Allocating CBO’s Estimates of Federal Medicaid Spending Reductions and Enrollment Loss Across the States: House Reconciliation Bill
Issue BriefThe Congressional Budget Office’s (CBO) latest estimate shows that the One Big Beautiful Bill would reduce federal Medicaid spending by $793 and that the Medicaid provisions would increase the number of uninsured people by 7.8 million. Previous CBO estimates show that 10.3 million fewer people would be enrolled in Medicaid in 2034. Building on prior KFF analysis, this analysis allocates these estimated federal spending reductions and enrollment losses across the states.
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KFF Health Tracking Poll: The Public’s Views of Funding Reductions to Medicaid
FeatureAs Congress works to pass the "One Big Beautiful Bill Act," which includes significant changes to Medicaid and the ACA, the latest KFF Health Tracking Poll examines the views of groups that could be most directly impacted by the impending legislation. The poll finds most of the public is worried about the consequences of federal funding reductions to Medicaid, including rural residents, those with lower incomes, and across partisans.
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Administration Releases Additional Details of Fiscal Year 2026 Budget Request
Fact SheetOn May 30, 2025, the administration released additional details of its Fiscal Year 2026 budget request, including more specific information on 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 National Institutes of Health (NIH). The proposed budget includes significant reductions in global health funding including the elimination of some programs and activities as follows: State/USAID: Global Health Programs (GHP)…
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Which Federal Agencies Make Medicare Work and How Were They Affected by Recent Changes Made by the Trump Administration?
Issue BriefThis brief highlights some of the key federal agencies and offices that play a role in making Medicare work and, to the extent possible, describes the recent staffing and organizational changes made by the Trump administration that could affect the operations of Medicare in the future.