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A Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls
Policy WatchThis policy watch provides initial insight into how North Carolina is preparing to implement certain Medicaid provisions of the 2025 reconciliation law and how other policy changes may affect coverage and access to care.
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A Closer Look at California’s Plans to Implement Work Requirements While Facing Major Budget Shortfalls Amid Cuts in Federal Medicaid Funding
Issue BriefThis issue brief examines California's Medicaid work requirement implementation plans to provide initial insight into how California is preparing to implement work requirements amid projected state budget shortfalls and changes in the 2025 reconciliation law.
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10 Things to Know About Medicaid Managed Care
Issue BriefOur updated explainer provides an overview of comprehensive managed care, the most common way states deliver Medicaid services to enrollees.
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Medicaid Financing: The Basics
Issue BriefMedicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term services and supports for low-income residents. This brief examines key questions about Medicaid financing and how it works.
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ACA Sign-Ups Are Down by Over a Million People, But It’s Still an Incomplete Picture
Quick InsightsData currently being released represent Open Enrollment Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to effectuated enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their plan, thus “effectuating” their coverage.
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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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Quiz: Test Your Knowledge of the Affordable Care Act
FeatureTake this ten-question quiz to see how much you know about how the ACA affects health insurance coverage and costs as well as who is eligible for financial assistance
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The ‘Great Healthcare Plan’ Leaves Open Questions for People with Pre-existing Conditions
Quick InsightsPresident Trump announced a health care framework that leaves open key questions, including those about out-of-pocket costs, premiums, federal spending, and health coverage for people with pre-existing conditions.
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State-Based Efforts Will Provide Limited Relief from Enhanced Tax Credit Expiration
Policy WatchAfter failed Senate votes late last year and no subsequent bipartisan agreement, the enhanced premium tax credits expired as of January 1. Some states, particularly those operating State-Based Marketplaces (SBMs), have been preparing for this possibility for months and are moving to blunt the impact on consumers by implementing their own state-funded subsidies and implementing other programs aimed at stabilizing the cost of unsubsidized premiums.