Health Care Financing - Research and Data from KFF

Impact of the Medicaid Fiscal Relief Provisions in the American Recovery and Reinvestment Act (ARRA)

Oct 1, 2011

Issue Brief

The American Recovery and Reinvestment Act (ARRA), enacted in February 2009, has provided $103 billion in federal fiscal relief to state Medicaid programs over a period of two-and-a-half years to help them address the effects of the 2007-2009 recession. During a recession, unemployment increases and state revenues decline, making it difficult for states to meet the increased demand for Medicaid coverage among the newly unemployed. This brief reviews the ARRA Medicaid fiscal relief provisions—how they…

House Appropriations Committee Releases FY 2027 National Security, Department of State and Related Programs (NSRP) Appropriations Bill

Apr 28, 2026

Fact Sheet

This 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.

Breaking Down the U.S. Global Health Budget by Program Area

Apr 21, 2026

Fact Sheet

The 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.

State Medicaid Officials Project Flat Enrollment Post Unwinding but Increased Spending and Budget Pressures, as States Prepare for Impact of Federal Medicaid Policy Changes

Nov 13, 2025

News Release

As states completed the “unwinding” of pandemic-era continuous coverage, Medicaid enrollment fell 7.6% in FY 2025 and is expected to be largely flat in FY 2026. At the same time, total Medicaid spending grew by 8.6% in FY 2025 and is expected to grow by 7.9% in FY 2026.

States Respond to COVID-19 Challenges but Also Take Advantage of New Opportunities to Address Long-Standing Issues

Oct 27, 2021

Report

This report provides an in-depth examination of the changes taking place in Medicaid programs across the country. The findings are drawn from the 21st annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by KFF and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD). This report highlights policies in place in state Medicaid programs in FY 2021, particularly those related to the…

Medicaid State Fact Sheets

May 20, 2025

Feature

What percentage of people are covered by Medicaid in your state? Our State Medicaid fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, access, and financing, as well as a politics section for each state.

Domestic HIV Funding in the White House FY2027 Budget Request

Apr 10, 2026

Issue Brief

This brief provides on overview of funding proposals for domestic HIV programs and initiatives in President Trump’s FY27 budget request to Congress.

The U.S. Government and the World Health Organization

Mar 17, 2026

Fact Sheet

This fact sheet shares information about the World Health Organization (WHO) and U.S. government funding and engagement with WHO.

10 Things to Know About Medicaid Managed Care

Mar 23, 2026

Issue Brief

Our updated explainer provides an overview of comprehensive managed care, the most common way states deliver Medicaid services to enrollees.

Pathways to Payment Innovation in a Post-Health Reform Era

Event Date: Apr 30, 2010

Event

The new health reform law contains a number of changes in the way health care is paid for, particularly in public programs such as Medicare and Medicaid. The Alliance for Health Reform and The Commonwealth Fund sponsored a May 10 briefing which explored topics such as how some health care providers will be paid differently under reform, what effect this might have on payments across the health care system, and how providers are reacting. For…

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