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KFF designs, conducts and analyzes original public opinion and survey research on Americans’ attitudes, knowledge, and experiences with the health care system to help amplify the public’s voice in major national debates.
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Health Policy 101 is a comprehensive guide covering fundamental aspects of U.S. health policy and programs, including Medicare, Medicaid, the Affordable Care Act, employer-sponsored insurance, the uninsured population, health care costs and affordability, women's health issues, and health care politics. The Public Health chapter examines how public health is governed and delivered in the United States. It includes explanations of key public health frameworks, services, capabilities and characteristics, how the public health system works in state, local and territorial governments, and public health funding, workforce, and communication challenges in an era of declining trust.
This issue brief analyzes how the new CDC Public Health Infrastructure Grant (PHIG) workforce funding has been distributed across health departments in the U.S., and also jurisdictional plans for public health workforce hiring using funds from PHIG.
Starting in May of last year, HHS Secretary Kennedy and the CDC/ACIP began to make changes to the federal vaccine schedule for children, culminating in an announcement on January 5 of this year with the most wide-ranging changes to date. This policy brief tracks the number of states that have announced they are no longer following federal government recommendations for childhood vaccines as of January 20, 2026.
The Affordable Care Act aims to promote higher quality care in part by rewarding – and eventually requiring – the reporting of certain quality measures. Previous efforts suggest that public reporting can add significant value. Yet there are concerns about the best way to measure outcomes and quality, the possible unintended effects of public reporting, and whether purchasers and consumers actually use the information to make choices. Panelists at this April 27 briefing co-sponsored by…
There were gains in coverage across most racial and ethnic groups between 2019 and 2023 after several years of rising uninsured rates during the first Trump administration. The coverage gains between 2019 and 2023 were largely driven by increases in Medicaid coverage, reflecting policies to stabilize and expand access to affordable coverage that were implemented during the COVID-19 pandemic.
This analysis examines the different approaches states are taking to manage the limited initial supply of COVID-19 vaccines and balance the desire to vaccinate those at greatest risk first with the need to ensure a fast and effective statewide vaccination effort. It includes a state data table.
With hopes that a COVID-19 vaccine or vaccines will be proven safe and effective soon, state and local public health authorities will play a critical role in ensuring the efficient distribution and administration of the vaccine. To assess the readiness of these local governments to take on these responsibilities, KFF reviewed the preliminary vaccine distribution plans submitted to the U.S. Centers for Disease Control and Prevention last month by the states and the District of…
The proposed rule would likely lead to further declines in use of health care and programs among immigrant families. The Department of Homeland Security (DHS) suggests that one of the benefits of the rule would be “a reduction in the number of aliens dependent on public benefit programs” and notes that it will result in reduced federal and state payments for individuals who disenroll or forgo enrollment in programs.
Efforts to correct misinformation can unintentionally amplify it by increasing engagement, repetition, and visibility. During times of low trust, even debunked claims can erode confidence in health institutions. Communicators can limit amplification by focusing on verified facts, using prebunking and strategic debunking, and strengthening trust with credible messengers.
(Secretary Kennedy) has promised to restore public trust in the CDC, but our polling data suggests real challenges given how skeptical the public - and Republicans in particular - are about the agency.
This brief answers key questions about the U.S. monkeypox outbreak to date and identifies issues that may affect the response going forward.
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