Medicaid

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Number of States Affected by Key Medicaid Provisions in the 2025 Reconciliation Law

Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?

The 2025 reconciliation law makes sweeping changes to Medicaid that will affect every state through key eligibility and financing changes, including new work requirements, immigrant eligibility restrictions, and changes to provider taxes and state directed payments. This issue brief explains which states will be affected by each of these key provisions.

Medicaid work requirements

Nebraska Renewal Outcomes Among Individuals Subject to Medicaid Work Requirements

Early Medicaid Work Requirement Insights From Nebraska

This brief describes the verification process for Medicaid work requirements in Nebraska and examines early data on outcomes for individuals subject to work requirements. Among Medicaid enrollees renewing coverage under Nebraska's work requirements, 93% met the requirements or qualified for an exemption —while 7% lost coverage.

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements

KFF’s interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. The tracker includes state-level data on Medicaid enrollment and renewal outcomes as well as current state enrollment and renewal policies. The Congressional Budget Office estimates that the 2025 reconciliation law will increase the number of people who are uninsured in 2034 by 10 million. Coverage losses from Medicaid work requirements account for over half, or 5.3 million, of the increase in the number of uninsured.

understanding medicaid

Medicaid Financing: The Basics

Medicaid represents $1 out of every $5 spent on health care in the U.S. This brief examines key questions about Medicaid financing and how it works.

Medicaid and Provider Taxes

This brief explores how rules governing provider taxes are changing because of the 2025 reconciliation law and the regulations implementing that law, and summarizes which changes may affect each state.

5 Key Facts About Medicaid and Hospitals

This brief explains the role of Medicaid for hospitals, including how much spending on hospital care comes from Medicaid and how Medicaid expansion has impacted hospital finances.

Medicaid home Care

Medicaid Home Care/HCBS Survey

Since 2001, KFF has administered regular surveys of states about their Medicaid home- and community-based services (HCBS) programs. The survey is sent to officials administering Medicaid HCBS programs in all 50 states and the District of Columbia.

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  • Medicaid’s Role in Long-Term Care: Q & A

    Fact Sheet

    Financing long-term care for the nearly 10 million Americans who need services and support to assist them in life’s daily activities continues to challenge the nation. While Medicaid is the nation’s major source of financing for long-term care services, paying for over 40% of total long-term care, its role is not well understood. Misperceptions on who qualifies and what is covered are common. A new question and answer fact sheet about Medicaid’s long-term care assistance…

  • The Vermont Choices for Care Long-Term Care Plan: Key Program Changes and Questions

    Fact Sheet

    The Vermont Choices for Care Long-Term Care Plan: Key Program Changes and Questions This fact sheet summarizes Vermont’s Section 1115 waiver to make fundamental changes to its Medicaid program that provides long-term services and supports to eligible, low-income state residents. The waiver was designed to increase access to home and community-based services (HCBS), reduce use of institutional services and control overall costs for long-term services spending. The state hopes to achieve these goals by limiting…

  • Health Coverage and Access Challenges for Low-Income Women

    Issue Brief

    This issue brief examines low-income women’s health insurance coverage, experience with health plans and providers, and access to care. The analysis is based on data from the 2001 Kaiser Women’s Health Survey, a nationally representative survey of nearly 4,000 women between the ages of 18 and 64. Issue Brief (.pdf)

  • Papers on Issues For People With Medicare Raised By Proposed Drug Benefit Regulations

    Issue Brief

    Papers on Issues For People With Medicare Raised By Proposed Drug Benefit Regulations The Kaiser Family Foundation has commissioned a series of papers to explore key issues that may be of concern for Medicare beneficiaries as the new Medicare drug benefit is implemented. These papers focus on specific areas of potential concern for people with Medicare. In addition, the Foundation also has produced a timeline of upcoming important dates leading up to the implementation of…

  • Two New Reports Show Progress On Health Coverage Is Threatened As States Continue To Face Growing Pressures To Control Costs

    Report

    Two New Reports Show Progress on Health Coverage is Threatened as States Continue to Face Growing Pressures to Control Costs Two new KCMU 50-state surveys show states continue to face budget pressures that could limit public coverage. One survey shows all states plan more Medicaid cost-containment actions in FY2005 and the second shows that after recent gains, securing Medicaid and SCHIP coverage is more difficult for low-income families in 23 states. News Release The Continuing…

  • Covering New Americans:  A Review of Federal and State Policies Related to Immigrants’ Eligibility and Access to Publicly Funded Health Insurance

    Report

    Covering New Americans: A Review of Federal and State Policies Related to Immigrants' Eligibility and Access to Publicly Funded Health Insurance This brief provides an overview of health coverage challenges facing immigrants, the federal rules regarding immigrants’ eligibility for Medicaid and SCHIP, and state efforts to provide replacement coverage for immigrants who are ineligible for Medicaid and SCHIP. Report (.pdf)

  • President’s FY 2008 Budget

    Fact Sheet

    President's FY 2008 Budget and Medicaid The President's FY 2008 budget proposes $25.7 billion in federal Medicaid cuts over the next five years through a combination of both legislative and regulatory changes. This fact sheet summarizes the President's FY 2008 budget proposals for the Medicaid program. Fact Sheet (.pdf)

  • E-Health Snapshot: Harnessing Technology To Improve Medicaid and SCHIP Enrollment and Retention Practices

    Report

    Information technology holds considerable promise for improving outreach to families with uninsured children, getting them enrolled in Medicaid and SCHIP and keeping them covered. This report documents the promising practices underway across the country to use technology to make enrollment and renewal more efficient, more responsive to family needs and more accountable to the public. The report identifies additional actions that can be taken at the federal and state level to use these tools wisely…

  • Spotlight on Uninsured Parents: How a Lack of Coverage Affects Parents and Their Families

    Issue Brief

    Providing health coverage for the entire family can both help to increase coverage of children and assist low-income families in obtaining more affordable health care services. This brief uses data from the 2005 Kaiser Low-Income Coverage and Access Survey to examine health coverage, access and the financial impacts of health care for low-income parents and their families. Issue Brief (.pdf)