Medicaid

new and noteworthy

Amid Implementation of Consequential Medicaid Changes, 21 States Will Have New Governors and DC Will Have a New Mayor in 2027

With 21 new governors set to take office next year— including five from different parties— states already navigating complex Medicaid changes now face an added layer of uncertainty. Leadership transitions can slow implementation and shift policy priorities, raising questions about how states will meet tight deadlines on Medicaid work requirements and more.

An image of text is an excerpt from Jennifer Tolbert's quick take which reads, "The ruling will ease somewhat the administrative burden associated with implementing the medical frailty exclusion by reducing the complexity of the verification process, likely leading to fewer people losing Medicaid coverage for paperwork reasons."

Court Decision Eases Burden of Proof to Qualify for Medical Frailty Exclusion to Medicaid Work Requirements

A district court’s Oct. 29 ruling, if it holds, will ease somewhat the administrative burden associated with implementing the medical frailty exclusion by reducing the complexity of the verification process, likely leading to fewer people losing Medicaid.

1115 Waiver Watch: A Look at Budget Neutrality Policy Changes

Medicaid’s Transportation Benefit and the People Who Use It

Medicaid Payment Transparency Rules: State Reporting Requirements and Limitations

Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?

Medicaid work requirements

Assessing Ability to Work: How Historical SNAP Processes May Vary from Medicaid

What Could Medicaid Work Requirements Mean for SSDI Applicants and Beneficiaries?

What Could Medicaid Work Requirements Mean for SSI Applicants?

The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule

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.

5 Key Facts About 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

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.