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Medicaid work requirements

Medicaid and the Road Ahead: Spending Cuts, Work Requirements and What’s Next for States, Providers and Families

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Passed last year, President Trump’s One Big Beautiful Bill Act made significant changes to Medicaid—the primary insurance provider for health and long-term care for people with low incomes. These changes are expected to lead to coverage loss for many current enrollees and will reduce funding for Medicaid, placing new financial pressures on states and health care providers. On July 23, KFF and States Newsroom hosted an event focused on the impacts of work requirements and other federal policy changes on states, health care systems, and people.

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understanding medicaid

Medicaid Financing

Medicaid 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 care. This brief examines key questions about Medicaid financing and how it works.

Medicaid Program Integrity

This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.

Medicaid Home Care

This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.

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  • Medicaid Enrollment in 50 States: December 2001 Data Update

    Report

    This publication provides state-by-state enrollment information and identifies national trends from the data. Some of the findings include: The rate of Medicaid enrollment growth doubled during 2001. Overall enrollment increased in all 50 states and the District of Columbia, with positive enrollment growth in the categories of families, children and pregnant women as well as the aged and disabled. Data suggest that Medicaid continues to evolve from a welfare-based program to a more traditional health…

  • Medicare Prescription Drug Coverage: Facts, Options, and Implications

    Event Date:
    Event

    Testimony by Patricia Neuman, Sc.D., vice president and director of the Foundation's Medicare Policy Project, for the House Committee on Energy and Commerce, Subcommittee on Health, hearing on Creating a Medicare Prescription Drug Benefit: begins with a brief review of existing sources of prescription drug coverage for the Medicare population and a discussion of how the lack of coverage affects people on Medicare. It then reviews broad approaches to improving prescription drug coverage, considers the…

  • Medicare’s Disabled Beneficiaries: The Forgotten Population in the Debate Over Drug Benefits

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    About 5 million Americans under age 65 qualify for Medicare coverage because they are totally and permanently disabled. They are more likely than the elderly to live in poverty, to be in poor health, and to experience difficulties living independently and performing basic daily tasks. A new study from The Commonwealth Fund and the Henry J. Kaiser Family Foundation, reports that the disabled have few options other than Medicaid for obtaining prescription coverage. In ,…

  • Medicaid’s Role for Low-Income Medicare Beneficiaries

    Fact Sheet

    Medicaid's Role for Low-Income Medicare Beneficiaries An overview that identifies low-income Medicare beneficiaries (dual eligibles), how Medicaid can provide care for them, and the challenges to accessing care. Fact Sheet

  • Bush Administration Medicaid/SCHIP Proposal

    Report

    In January 2003, the Bush Administration put forth a proposal to restructure Medicaid and SCHIP in ways that could fundamentally alter the two programs. This policy brief provides a detailed explanation of what is known about the key elements of the proposal and includes a discussion of the proposal's implications. Issue Paper

  • Trends and Indicators in the Changing Health Care Marketplace 2002

    Report

    This chartbook provides information on key trends in the health care marketplace including health spending, the structure of the health care marketplace, and health plan and provider relationships. It highlights data on health plan enrollment, premiums, and benefits, and the implications of health market trends for consumers and the safety net. Chartbook (.pdf)

  • The President’s Fiscal Year 2003 Budget:  An Overview of Health Programs

    Report

    The President's Fiscal Year 2003 Budget: An Overview of Health Programs A new chartbook describes the government's overall budget situation and examines the health policies and programs proposed in the President's latest budget. Chartbook View a webcast of A Capitol Hill briefing on budgets and health care