Medicaid: What to Watch in 2025
In 2025, many issues are at play that could affect Medicaid coverage, financing, and access to care.
View the Latest: Long-Term Care
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How do Medicaid Home Care Programs Support Family Caregivers?
Issue BriefThis issue brief provides new information about family caregivers from KFF’s most recent survey of state Medicaid HCBS programs, including a discussion of paying family caregivers, self-direction, and supports available for family caregivers.
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5 Key Facts About Nursing Facilities and Medicaid
Issue BriefThe substantial Medicaid savings in the reconciliation bill that has been passed by the House could have major implications for nearly 15,000 federally certified nursing facilities and the 1.2 million people living in them. Nursing facilities provide medical and personal care services for older adults and people with disabilities, and Medicaid covered 44% of long-term institutional care costs in 2023.
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What Share of Nursing Facilities Might Meet Proposed New Requirements for Nursing Staff Hours?
Issue BriefThis issue brief analyzes the percentage and characteristics of facilities that would meet the rule’s proposed requirements for the minimum number of RN and nurse aide hours to better understand the implications of the rule.
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How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People?
Issue BriefKFF examines how many Medicaid enrollees used Long-Term Services and Supports (LTSS) for aging, illness, or disability in 2020, how much Medicaid spent on these enrollees, and policy issues to watch in the coming years.
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States’ Management of Medicaid Home Care Spending Ahead of H.R. 1 Effects
Issue BriefUsing data from the 23rd KFF survey of officials administering Medicaid home care programs, this issue brief describes the mechanisms states are currently using to limit Medicaid spending on home care and their plans for adopting new mechanisms in state fiscal year (FY) 2026.
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Ending the Public Health Emergency for Medicaid Home- and Community-Based Services
Policy WatchThis policy watch explores the potential implications of ending the PHE for Medicaid HCBS programs.
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A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2024
Issue BriefThis data note provides new information about waiting lists for Medicaid Home- and Community-Based Services, including a discussion of why waiting lists are an incomplete measure of unmet need and why they are not necessarily comparable across states or over time.
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Medicaid Home Care (HCBS) in 2025
Issue BriefThis issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services” or HCBS) is, who is covered, and what services were available in 2025.
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What Services Does Medicaid Cover in Assisted Living Facilities?
Issue BriefThis issue brief provides information about some of the services Medicaid provides in assisted living facilities from KFF’s most recent survey of state Medicaid HCBS home care programs.