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A Final Look: California’s Previously Uninsured after the ACA’s Third Open Enrollment Period

The Kaiser Family Foundation California Longitudinal Panel Survey is a series of surveys that, over time, tracked the experiences and views of a representative, randomly selected sample of Californians who were uninsured prior to the major coverage expansions under the Affordable Care Act (ACA). The initial baseline survey was conducted with a representative sample of 2,001 nonelderly uninsured Californian adults in summer 2013, prior to the ACA’s initial open enrollment period. After each enrollment period concluded, a survey was conducted of the same group of previously uninsured Californians who participated in the baseline (a longitudinal panel survey). The fourth and final survey in the series, and the focus of this report, followed up with them after the third open enrollment period in spring 2016 to find out whether more have gained coverage, lost coverage, or remained uninsured, what barriers to coverage remain, how those who now have insurance view their coverage, and to assess the impacts that gaining health insurance may have had on financial security and access to care.

Kaiser Family Foundation/CNN Working-Class Whites Poll

The latest Kaiser Family Foundation/CNN partnership poll explores the views and experiences of white Americans without college degrees (a group defined in this survey as “working-class whites”), including how they feel about their own lives and the direction of the country, their attitudes towards government, their economic priorities, feelings about immigration and increasing racial and ethnic diversity, and personal experiences with employment and finances.

New KFF/CNN Survey Finds Majority of Working-Class White Americans Optimistic About Their Own Lives, But Many Are Unhappy with the Direction of the Country

As the 2016 presidential election focuses attention on the perspectives of white Americans without college degrees, a new survey from the Kaiser Family Foundation and CNN delves deeply into the views and experiences that shape their lives and their political leanings. CNN is featuring findings from the poll in digital and…

Survey: Three Months after Hurricane Harvey, Nearly Half of Affected Texas Residents Say They are Not Getting the Help They Need to Recover

KFF/EHF Survey Examines Residents’ Experiences and Views in 24 Hard-Hit Counties across Texas Two-thirds (66%) of residents across 24 Texas counties report that they suffered property damage, employment disruptions and/or lost income due to Hurricane Harvey, finds a new Kaiser Family Foundation/Episcopal Health Foundation survey. One in nine residents in…

Immigration Reform and Access to Health Coverage: Key Issues to Consider

The Obama administration and a bipartisan group of U.S. senators recently released blueprints for immigration reform proposals that include a roadmap to citizenship for the 11 million undocumented immigrants currently residing in the United States. Subject to meeting specified requirements, these individuals would be able to apply for a provisional…

Living in an Immigrant Family in America: How Fear and Toxic Stress are Affecting Daily Life, Well-Being, & Health

This brief examines the experiences of immigrant parents and children, including immigrants who are undocumented and those lawfully present, with the new restrictions on immigration and increased immigration enforcement being pursued by the Trump Administration that are reshaping U.S. immigration policy. Findings are based on focus groups in eight cities and four states with 100 parents in immigrant families from 15 countries, as well as telephone interviews with 13 pediatricians who serve immigrant communities.

Vivir en una Familia de Inmigrantes en los Estados Unidos: Cómo el Miedo y el Estrés Tóxico Están Afectando la Vida Diaria, el Bienestar y la Salud

Este informe examina las experiencias de los padres y hijos de inmigrantes, incluidos los inmigrantes indocumentados y aquellos legalmente presentes, con las nuevas restricciones de inmigración y el aumento de las leyes de inmigración siendo perseguidos por la Administración de Trump que están reformando la política de inmigración del EE.UU.. Realizamos grupos focales con 100 padres de 15 países y 13 entrevistas con pediatras para obtener una idea de cómo el ambiente actual está afectando la vida diaria, el bienestar y la salud de las familias inmigrantes, incluidos sus hijos.

Estimated Impacts of the Proposed Public Charge Rule on Immigrants and Medicaid

On October 10, 2018, the Trump administration released a proposed rule to change “public charge” policies that govern how the use of public benefits may affect individuals’ ability to obtain legal permanent resident (LPR) status. This analysis provides new estimates of the rule’s potential impacts.

Medicaid: What to Watch in 2019 from the Administration, Congress, and the States

Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing homes, continues to be a key part of health policy debates at the federal and state level. Important Medicaid issues to watch in 2019 include Medicaid expansion developments amid ongoing litigation about the ACA’s constitutionality as well as Medicaid demonstration waiver activities, including those focused on work requirements and other eligibility restrictions. States are also likely to continue to pursue initiatives to address the opioid crisis, and the recent passage of bi-partisan legislation with new tools and financing could bolster these efforts. Primary areas of federal policy to watch in 2019 with implications for Medicaid include the expiration of temporary funding for Puerto Rico and the US Virgin Islands in the absence of legislative action as well as potential regulatory changes to public charge policies that would likely lead to Medicaid enrollment declines among immigrant families. Finally, reforms in benefits, payment and delivery systems continue to evolve as states and the federal government focus on managed care, social determinants of health, prescription drugs, and community based long-term care. While beyond the scope of this brief, Congress and states could also consider broader health reform that could expand the role of public programs in health care including Medicare for All or Medicaid buy-in programs that could have significant implications for Medicaid.