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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.

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 describes states’ current provider taxes and explores how rules governing provider taxes are changing.

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.

Dual Eligibles

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  • The Impact of Part D on Dual Eligibles Who Spend-Down to Medicaid

    Issue Brief

    Individuals with incomes exceeding thresholds for regular Medicaid eligibility may qualify under state medically needy programs by spending down excess income on healthcare services. For the vulnerable population of Medicare beneficiaries who spend down to Medicaid, the Part D transition has added additional complexities that may result in disruptions in pharmacy coverage and add financial burdens. This paper explores the inter-relationship of Medicare prescription drug coverage and Medicaid spend-down for the medically needy. It describes…

  • 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…

  • Perspectives on Medicare Part D and Dual Eligibles: Key Informants’ Views From Three States

    Report

    In 2006, low-income individuals receiving health coverage through both the Medicaid and Medicare programs, “dual eligibles,” experienced a change in their prescription drug benefit when their Medicaid prescription coverage was replaced by the Medicare prescription drug program known as Medicare Part D. This study provides information on the ongoing successes and challenges that dual eligibles faced in the first eight months of Part D and how different state approaches may affect dual eligibles’ ability to…

  • 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)

  • President’s FY2008 Budget and The State Children’s Health Insurance Program

    Fact Sheet

    President's FY2008 Budget and The State Children's Health Insurance Program The State Children's Health Insurance Program (SCHIP) was established in 1997 to build on Medicaid's coverage of children. The program must be reauthorized this year to continue uninterrupted. This fact sheet summarizes the President's budget proposal to reauthorize the SCHIP for the next five years. Fact Sheet (.pdf)

  • The State Children’s Health Insurance Program: Lessons and Outlook

    Event

    The State Children's Health Insurance Program: Lessons and Outlook Barbara Lyons, a vice president of the Foundation and deputy director of the Foundation's Commission on Medicaid and the Uninsured, testified before a field hearing of the U.S. Committee on Finance about lessons learned from ten years of the State Children's Health Insurance Program and the outlook for the program's future. Testimony (.pdf)

  • The Basics of Medicare and Medicaid

    Issue Brief

    Together, Medicare and Medicaid provide health coverage to about 90 million Americans. To help explain the two programs, the Kaiser Family Foundation issued a new primer on the Medicare program and an updated version of its primer on the Medicaid program. Prepared by Kaiser staff, the primers provide an overview of the programs, who they serve, how the programs work and how they are financed. Medicare: A Primer Medicaid: A Primer

  • New Study Shows Medicaid Spending Growth Can Be Sustained By Expected Increases in Government Revenues

    Event Date:
    Event

    A new study from the Foundation's Kaiser Commission on Medicaid and the Uninsured, published in Health Affairs, concludes that expected growth in government revenues is likely to be large enough to sustain Medicaid spending increases over the next 40 years, while also allowing substantial real growth in spending for other public services. The study projects that Medicaid's share of national health spending will remain virtually unchanged until 2025 and then increase slowly by 2045. News…

  • Health Coverage for Low-Income Parents

    Fact Sheet

    The fact sheet summarizes the health coverage of low-income parents, including recent trends, and discusses the current policy challenges related to expanding care for this population. Fact Sheet (.pdf)