View the Latest: State Budgets
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Our Darwinian Approach to Health Care Costs
From Drew AltmanIn his latest column, President and CEO Dr. Drew Altman presents his Venn diagram of health care cost problems and shows how, in our fragmented health system, reducing one health cost problem often makes another worse.
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Medicaid and Upcoming State Budget Debates
Issue BriefThis brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenges and the 2025 reconciliation law.
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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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A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2025
Issue BriefThis data note provides new information about waiting lists in Medicaid home care before many of the provisions in the 2025 reconciliation law go into effect. The data come from KFF's 23rd survey of officials administering Medicaid home care programs in all 50 states and DC.
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Medicaid Enrollment & Spending Growth: FY 2025 & 2026
Issue BriefThis brief analyzes Medicaid enrollment and spending trends for FY 2025 and FY 2026, based on data provided by state Medicaid directors as part of the 25th annual survey of Medicaid directors.
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State Medicaid Officials Project Flat Enrollment Post Unwinding but Increased Spending and Budget Pressures, as States Prepare for Impact of Federal Medicaid Policy Changes
News ReleaseAs states completed the “unwinding” of pandemic-era continuous coverage, Medicaid enrollment fell 7.6% in FY 2025 and is expected to be largely flat in FY 2026. At the same time, total Medicaid spending grew by 8.6% in FY 2025 and is expected to grow by 7.9% in FY 2026.
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A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes
ReportThis report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.
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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.