How Much is Health Spending Expected to Grow?
This chart collection explores how much health spending is expected to grow in the coming years, with a look at growth in prescription drug spending, out-of-pocket spending, and related trends.
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Midterm Election Update: Medicaid Changes
Fact SheetMajor federal changes to Medicaid eligibility and financing from the 2025 reconciliation law are coming, including new work requirements that will affect millions of Medicaid enrollees. KFF’s fact sheet provides an overview of what has changed, what is still ahead, and what the public thinks about Medicaid heading into the midterms.
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First Look at New Hospital Price Transparency Provisions: Some Factors Complicate Price Comparisons
Issue BriefThis analysis takes a first look at how hospitals are reporting prices under updated federal hospital price transparency requirements that took effect in January 2026.
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Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?
Policy WatchThe 2025 reconciliation law makes sweeping changes to Medicaid that will affect every state through key eligibility and financing changes, including new work requirements, immigrant eligibility restrictions, and changes to provider taxes and state directed payments. This issue brief explains which states will be affected by each of these key provisions.
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KFF/AP Survey Probes Rural Voters’ Increasing Anxieties About the Rising Cost of Living, Including Health Costs, Heading into the Midterm Elections
News ReleaseRural voters’ frustrations about the cost of living in their community are growing and appear to be chipping away at Republicans’ enthusiasm to vote as the midterm elections near, a new KFF/AP Survey of Rural Voters finds.
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KFF/AP Rural Voters Survey
Poll FindingThe KFF/AP Rural Voters Survey examines the views and political priorities of voters living in rural areas across the United States ahead of the 2026 midterm elections. The survey gauges rural voters' top election issues, growing struggles with cost of living and health care costs, as well as views on the Trump administration's health care policies.
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A Closer Look at the $50 Billion Rural Health Transformation Program
Issue BriefThe 2025 budget reconciliation created the Rural Health Transformation Program, which will award $50 billion in state grants over a five-year period. This brief provides an overview of the program, describing its structure, how funds can be used, how funding compares to Medicaid spending reductions in the reconciliation law, and how the funds are being distributed across and within states.
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The Trump Administration’s Proposed $103,265 Fee for H-1B Visas Could Affect the Health Care Workforce
Quick InsightsThe proposed $103,265 fee could lead to reductions in U.S. health care workforce, increasing barriers to care….A decline in H-1B workers would disproportionately impact states that employ the largest shares of H-1B workers (NY, MA, CA, and PA), lower income and rural areas where H-1B health care workers often are employed, and smaller employers, who would face greater challenges paying the fee.
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Analysis: At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits
News ReleaseAn estimated $60 billion in federal Medicaid spending in 37 states (including the District of Columbia) would likely exceed new federal limits on state directed payments for hospital services once fully implemented, a new KFF analysis finds. States with the biggest potential reductions in Medicaid payments to hospitals include California, Illinois, Kentucky, Texas, North Carolina, Louisiana, Arizona and Michigan.
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At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits
Issue BriefThis analysis estimates the number of states impacted by and the amount of current federal spending on Medicaid state directed payments for hospital services that exceeds the new limits established by the 2025 reconciliation law when fully implemented.