5 Key Facts About Medicaid Expansion
This issue brief examines Medicaid expansion enrollment and Medicaid spending in expansion and non-expansion states and describes the characteristics of adults covered by the Medicaid expansion.
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Medicare Program Integrity and Efforts to Root Out Improper Payments, Fraud, Waste and Abuse
Issue BriefThis brief explains fraud, waste, abuse, and improper payments in Medicare and describes actions to ensure Medicare program integrity.
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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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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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Medicaid Covers at Least One in Five Hospital Inpatient Days in Nearly Every State
Issue BriefThis analysis examines the share of inpatient hospital days that are covered by Medicaid nationally and by state at a time when Congress is considering potential cuts to the program. It finds that Medicaid covered at least one in five inpatient hospital days in 48 states and the District of Columbia in 2023.
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Section 1115 Waiver Watch: Early Signs Point to New Directions Under Trump Administration
Issue BriefRecent actions from the Trump administration could signal limits to curtail Medicaid waivers related to social determinants of health and to limit waiver financing tools and flexibility. Two major changes demonstrate this shift: (1) rescinding Biden-era guidance on covering health-related social needs (HRSN) services, and (2) phasing out federal funding for “Designated State Health Programs” (DSHP) in waivers.
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Senate Committee on Appropriations Approves FY 2026 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill & Accompanying Report
Fact SheetThe Senate Committee on Appropriations approved its FY 2026 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) appropriations bill, accompanying report, and amendments on July 31, 2025.
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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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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).
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The New Pandemic Fund: Overview and Key Issues for the U.S.
Issue BriefThis brief offers an overview of the new multilateral global health financing mechanism known as the Pandemic Fund, which is housed at the World Bank. The brief reviews the evolution of the Fund, its current financial status and donors, U.S. engagement, and policy issues going forward.