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Medicaid Midterm Election Update

Midterm Election Update: Medicaid Changes

Major federal changes to Medicaid eligibility and financing from the 2025 reconciliation law are coming, including new work requirements that will affect millions of Medicaid enrollees. KFF’s fact sheet provides an overview of what has changed, what is still ahead, and what the public thinks about Medicaid heading into the midterms.

Medicaid State Fact Sheets 2024

Medicaid State Fact Sheets

What share of people in your state are covered by Medicaid? States varywidely in how many and which residents they cover and how much they spend. KFF’s state Medicaid fact sheets offer a snapshot of data and information on coverage, access, financing, and politics for all 50 states and DC. Get data for your state.

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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  • Trump Voters On Medicaid, On Medicaid Cuts

    From Drew Altman

    In a new column, KFF President and CEO Drew Altman discusses how recent KFF focus groups with Trump voters on Medicaid show that voters were not expecting big Medicaid cuts from the Trump administration and worry about what the impact of potential cuts in federal Medicaid spending will be. As Drew writes: “Trump built a populist base of working people formerly in the Democratic party.” When details of specific Medicaid cuts emerge, tension could develop…

  • Medicaid Expansion is a Red and Blue State Issue

    Issue Brief

    With President-elect Trump returning to the White House and Republicans controlling Congress, significant changes to the Medicaid expansion are expected. This data note provides key facts on the Medicaid expansion, highlighting the financial and coverage impacts of any changes across states that voted for President-elect Trump and those that voted for Vice President Harris.

  • Making Child Health Coverage a Reality: Lessons From Case Studies of Medicaid and CHIP Outreach and Enrollment Strategies

    Report

    Recent expansions in public health insurance for children and changes in welfare laws present states with the challenge of identifying and enrolling the large population of uninsured children in their Medicaid and Children's Health Insurance Programs (CHIP). This study describes and analyzes the outreach and enrollment strategies and systems in place in four states at the county level, highlighting issues and challenges states face during implementation. The study sites selected were Santa Clara County (San…

  • Falling Through the Cracks: Health Insurance Coverage of Low-Income Women

    Report

    Access to health coverage is a challenge for millions of low-income women. Because they are more likely to be low-wage workers and work in industries that don't offer benefits, access to job-based coverage is often problematic. Avenues for assistance are available to some through Medicaid. However, despite the program s broadened focus on children and pregnant women, restrictive income and categorical requirements still leave millions of women ineligible and often uninsured. Recent changes in public…

  • Medicaid and the Elderly

    Other Post

    Long-Term Care Spending In 1993, Medicaid spent $25.5 billion for long-term care services for elderly beneficiaries (Figure 5). This represents 58 percent of the $44 billion Medicaid spent on long-term care services for all population groups. The majority of spending was for care delivered in nursing facilities (84 percent) and ICFs-MR (2 percent). The remaining 14 percent of Medicaid long-term care spending went towards community-based care, including 3 percent for mental health services and 11…

  • 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

  • Incremental Ways to Cover the Uninsured

    Other Post

    The Kaiser Commission co-sponsored a policy briefing on America's uninsured population and potential models for coverage expansion. Expanding public programs and providing tax credits are both being discussed as ways to cover some of the 42 million uninsured Americans. A link to the webcast and related resources is provided. Webcast of Policy Briefing

  • The Future of Medi-Cal: Challenges at the Federal, State, and County Level

    Issue Brief

    This issue brief explores how California and other states are attempting to preserve a meaningful set of benefits under Medicaid during the current budget crisis, when services are most needed and state resources are most scarce. This brief is being distributed in Sacramento at the latest California Health Policy Roundtable on Tuesday, May 13, 2003. Invitation to the California Health Policy Roundtable Issue Brief: Presentation by Victoria Wachino, Kaiser Commission on Medicaid and the Uninsured…

  • Statewide Medicaid Managed Care Demonstrations under Section 1115 of the Social Security Act:

    Report

    A Review of the Waiver Applications, Letters of Approval and Special Terms and Conditions This background paper provides a summary of the key features of the Medicaid 1115 waivers that have been approved, proposed, implemented and conditionally rejected. This July version updates Medicaid 1115 Demonstration Waivers: Approved and Proposed Activities as of February 1995, as well as policy briefs on Medicaid waivers released in August and November of 1994. Report: Statewide Medicaid Managed Care Demonstrations…