ACA Marketplace enrollment fell this year in every state except New Mexico—the only state to fully replace the enhanced premium tax credits that expired last year with a state-funded subsidy, according to a new KFF analysis of effectuated enrollment data. The Marketplace enrollment decline—the first in seven years—follows several years of rapid enrollment growth and coincides with the end of the enhanced federal subsidies.

The Trump Administration and Congress continue to focus on rooting out fraud, waste, and abuse in federal programs. This page tracks emerging developments in the federal government’s approach to Medicaid program integrity, along with the implications of those actions for different states.