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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  • S-CHIP Implementation in California

    Report

    This report examines the design and implementation of California's State Children's Health Insurance Program (known as Healthy Families), including contracting issues, program design and administration, and access to care by adolescents and children with special health care needs. This report is one of several appearing on this website from a five-state study of CHIP implementation in California, Connecticut, Maryland, Missouri, and Utah. REPORT Download

  • The Role of Medicaid in State Budgets

    Issue Brief

    A new policy brief examines the role of Medicaid in state budgets, the reasons behind rising growth in the program, and explores strategies for states to cope with higher spending in tough economic times. Policy Brief Also see recent publications on maintaining health coverage and securing Medicaid in today's economy

  • Pharmacy Plus Waivers: Trade Offs Between Expanding Rx Coverage and Global Caps in Medicaid

    Issue Brief

    The Kaiser Commission on Medicaid and the Uninsured has been monitoring the development of the Pharmacy Plus waiver initiated by the Bush Administration in 2002 and tracking the states that have pending or approved plans. The Commission has developed some materials describing the initiative, examining the financing mechanism, and discussing the implications for the Medicaid program and participating states. The Pharmacy Plus initiative allows states to secure federal Medicaid matching funds for prescription programs for…

  • Participation in Welfare and Medicaid Enrollment

    Report

    This paper examines Medicaid enrollment and its relation to the rise and fall of enrollment in Aid to Families with Dependent Children (AFDC) or Temporary Assistance to Needy Families (TANF) programs. Issue Paper Issue Paper

  • Medicare Beneficiaries: A Population At Risk – Findings from the Kaiser/Commonwealth 1997 Survey of Medicare Beneficiaries

    Other Post

    Medicare Beneficiaries: A Population at RiskFindings from the Kaiser/Commonwealth Fund 1997 Survey of Medicare Beneficiaries Tables for Medicare Beneficiaries: A Population at RiskPart 1 Cathy Schoen, Patricia Neuman, Michelle Kitchman, Karen Davis, and Diane Rowland List of Tables Table 1 Medicare Beneficiary Demographics, by Poverty Status Table 2 Medicare Beneficiary Demographics, by Age Group Table 3 Medicare Beneficiary Demographics, by Supplemental Insurance Type Table 4 Medicare Beneficiary Demographics, by Gender Table 1Medicare Beneficiary Demographics, by…

  • State Budgets and Health Coverage:  An Update on FY 2004 and Beyond

    Other Post

    State Budgets and Health Coverage: An Update on FY 2004 and Beyond New reports released at a January 28, 2004 briefing updating a survey on Medicaid budget trends, the future fiscal outlook of states, and case studies of ten states and their budget conditions. Webcast of January 28, 2004 Briefing News Release Report: States Respond to Fiscal Pressure: A 50-State Update of State Medicaid Spending Growth and Cost Containment Actions Issue Brief: Is the State…