Medicaid

new and noteworthy

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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  • Health Affairs Article: Health Care in New Orleans Before and After Hurricane Katrina

    Issue Brief

    On the first anniversary of Hurricane Katrina’s landfall, a paper authored by Foundation staff, released as a web exclusive by the journal Health Affairs, examines the impact of the storm on New Orleans, the current state of health care in the city, and lessons learned about the city’s health care delivery system. Health Affairs article: Full Article Abstract

  • The Nuts and Bolts of Making Medicaid Policy Changes: An Overview and a Look at the Deficit Reduction Act

    Issue Brief

    The Deficit Reduction Act of 2005 (DRA), signed into law on February 8, 2006, contains a large number of changes in Medicaid policy that are expected to affect almost all elements of the Medicaid program—eligibility, benefits and cost-sharing, provider payments and program integrity. In most instances the policy changes are optional for state Medicaid programs, but in some the changes are mandatory. At the federal level, the interpretation and implementation of these legislative policy changes…

  • Health Care One Year After Hurricane Katrina

    Event Date:
    Event

    Health Care One Year After Hurricane Katrina Extended interviews with survivors and a related film, "Voices of the Storm: Health Care After Katrina," are available below. August 29, 2006, marks the first anniversary of Hurricane Katrina's catastrophic landfall. The Kaiser Family Foundation continues its commitment to help respond to the devastation from Hurricane Katrina with new resources about the health care impact of Katrina's aftermath. At a forum held on August 8, the Foundation released…

  • Voices of the Storm: Health Experiences of Low-Income Katrina Survivors

    Report

    This report provides key findings from interviews with low-income Katrina survivors about their health care experiences after the storm to provide insight into how they fared and to highlight ways to improve the response to this and future disasters. The report also includes several in-depth, individual profiles of survivors’ health care experiences and highlights some specific experiences of individuals with HIV/AIDS. The report is based on in-person interviews conducted with more than 40 survivors and…

  • West Virginia Medicaid State Plan Amendment: Key Program Changes and Questions

    Fact Sheet

    This fact sheet summarizes the key changes West Virginia has approved for its Medicaid program as a result of the new flexibility available through the Deficit Reduction Act of 2005. West Virginia will change the benefit package for children and parents, parents will sign a member agreement for themselves and on behalf of their children to access certain benefits, and providers and managed care plans will monitor and report to the state their patients’ status…

  • KYHealth Choices Medicaid Reform: Key Program Changes and Questions

    Fact Sheet

    This fact sheet summarizes the key changes Kentucky has approved for its Medicaid program as a result of the new flexibility available through the Deficit Reduction Act of 2005. Kentucky uses new options related to benefits, cost sharing and long-term care. Fact Sheet (.pdf)

  • The Vermont Choices for Care Long-Term Care Plan: Key Program Changes and Questions

    Fact Sheet

    The Vermont Choices for Care Long-Term Care Plan: Key Program Changes and Questions This fact sheet summarizes Vermont’s Section 1115 waiver to make fundamental changes to its Medicaid program that provides long-term services and supports to eligible, low-income state residents. The waiver was designed to increase access to home and community-based services (HCBS), reduce use of institutional services and control overall costs for long-term services spending. The state hopes to achieve these goals by limiting…

  • National Council of Jewish Women features article on “Diagnosing Women’s Health Care”

    Other Post

    National Council of Jewish Women features article on “Diagnosing Women’s Health Care” Kaiser Vice President and Director of Women's Health Policy, Alina Salganicoff, authored an article titled "Diagnosing Women’s Health Care" featured in the National Council of Jewish Women's magazine, NCJW Journal, volume 29. The article highlights the special challenges that many women face in affording and accessing comprehensive health care in the U.S. It discusses the state of women's health coverage, emerging issues for…

  • Profiles of Nursing Home Residents on Medicaid

    Report

    This report illustrates through case examples the experiences and challenges of low- and modest-income people who rely on Medicaid to pay for nursing home expenses. These case examples were developed through in-person interviews with nursing home residents and their families in three states: Georgia, Kansas and Virginia. The first section of the report summarizes the themes and issues shared across the interviews Kaiser conducted, while the second section presents the individual stories of a subset…

  • Key Issues and Opportunities: Implementing the New Medicaid Integrity Program

    Report

    The Deficit Reduction Act of 2005 created a new Medicaid Integrity Program to increase the government's capacity to prevent, detect and address fraud and abuse in the Medicaid program. The new initiative represents the most significant single, dedicated investment the federal government has made in ensuring the integrity of the Medicaid program and offers an opportunity to ensure the efficient administration of the program and promote sound stewardship of state and federal resources. The Kaiser…