What Does the Future Hold for Ending the HIV Epidemic Initiative (EHE)?
This analysis examines what the Ending the HIV Epidemic (EHE) initiative has done to date and what its future might look like under the second Trump administration.
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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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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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Medicaid Financing: The Basics
Issue BriefMedicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term services and supports for low-income residents. This brief examines key questions about Medicaid financing and how it works.
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What is Medicaid Estate Recovery?
Issue BriefUnder estate recovery, state Medicaid programs are required to recover the costs of long-term care and related hospital and prescription drug services for enrollees ages 55 and older. KFF examines the wide variation in estate recovery practices across states as well as the criticisms of this policy, which have led to federal proposals to modify or reduce it.
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1.4 Million Lawfully Present Immigrants are Expected to Lose Health Coverage due to the 2025 Tax and Budget Law
Policy WatchThis policy watch outlines the groups of lawfully present immigrants that will lose access to federally funded health coverage due to the 2025 tax and budget law, and the CBO’s estimates of the increases in the uninsured.
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Tracking the Medicare Provisions in the 2025 Budget Bill
Other PostHealth Provisions in the 2025 Federal Budget Reconciliation Bill Medicaid The Affordable Care Act Medicare Health Savings Accounts Updated: July 8, 2025 In addition to the changes included in the law, if Congress takes no further action, the increase in the deficit would trigger mandatory spending cuts, also known as sequestration, under the Statutory Pay-As-You-Go Act of 2010. These cuts would total approximately $500 billion to Medicare over 2026–2034, according to the Congressional Budget Office, based on…
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How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State?
Issue BriefThis analysis apportions the increase in the number of uninsured across the 50 states and DC. CBO estimates that the reconciliation law will increase the number of uninsured by 10M in 2034 and rise to over 14M if enhanced premium tax credits for ACA Marketplace enrollees expire later this year.
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House Appropriations Committee Releases FY 2027 National Security, Department of State and Related Programs (NSRP) Appropriations Bill
Fact SheetThis budget summary provides an analysis of global health funding amounts provided in the FY 2027 House National Security, Department of State and Related Programs (NSRP) Appropriations Bill.
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Breaking Down the U.S. Global Health Budget by Program Area
Fact SheetThe U.S. government is the largest donor to global health in the world. This fact sheet breaks down the U.S. global health budget by program area: HIV/PEPFAR; tuberculosis; malaria/the President's Malaria Initiative; the Global Fund to Fight AIDS, Tuberculosis, and Malaria; maternal & child health; nutrition; family planning & reproductive health; global health security; and neglected tropical diseases.