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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 vary widely 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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  • 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…

  • Medicaid Program Enrollment: Data Update September 2001

    Report

    This report provides current national and state-level data on the number of persons enrolled in Medicaid. In addition to identifying recent trends in Medicaid, this report also examines trends in the various eligibility categories within Medicaid. The report reveals that enrollment in Medicaid increased by 2.2 million individuals, or 8.7 percent annualized, in the first nine months of 2001. Report

  • In Their Own Words: Family Profiles

    Other Post

    In Their Own Words: Family Profiles As the U.S. Congress and state legislatures explore policies to cover the uninsured, the Commission has profiled four families with uninsured members, including their family budgets, to better understand how specific policy ideas will practically affect typical uninsured Americans. Family Profiles Read the full report, "In Their Own Words: The Uninsured Talk About Living Without Health Insurance"

  • First Glance at the Children’s Health Initiative in Santa Clara County, California

    Report

    A new background report examines Santa Clara County in California in its effort to provide health insurance coverage (Children's Health Initiative or CHI) to all children living in the county. As one of the first localities to attempt such an initiative, its experiences can highlight important lessons and potential best practices for policymakers at the county, state, and national level considering coverage expansions for children. Also see Lessons from the Field: Increasing Enrollment in Children's…

  • Continued Slow Growth for Medicaid Spending in 1997

    Report

    This issue paper provides an overview of Medicaid spending in 1997. Beginning with a recap of spending and enrollment trends since the early 1990s, the authors report that Medicaid spending grew by 4.1 percent between 1996 and 1997, continuing the recent trend of slow spending growth. The paper includes detailed national and state-level tables of Medicaid spending and enrollment by numerous categories and over a range of years. It concludes with an analysis of the…

  • Making Medicaid Managed Care Work: An Action Plan for People Living With HIV

    Report

    This is an update of an earlier report also prepared by The National Association of People with AIDS (NAPWA), with support from the Foundation. That report was the product of a 1996 meeting of people with HIV, their advocates, and researchers designed to provide information about Medicaid managed care for people with HIV. This new report updates information to reflect changes in the policy and regulatory environment since that time. Report (.pdf)