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A Look at 1115 Waiver Evaluations for Medicaid Payments to Institutions of Mental Disease (IMD) for Substance Use Disorder

As of April 2026, 38 states (including DC) had approved Medicaid Section 1115 waivers to cover short-term residential and inpatient substance use disorder (SUD) treatment in Institutions for Mental Disease (IMD).

Early evaluations in 6 states show increases in residential and inpatient SUD treatment, growth in community-based care, and declines in SUD-related emergency department use.

5 Key Facts on Adolescent Mental Health and Substance Use Disorders

The Impact of Gun Violence on Youth Mental Health and Well-Being

Trends in Child and Adolescent Firearm Deaths

Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration

Key CDC Data

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  • State Options for Medicaid Coverage of Inpatient Behavioral Health Services

    Report

    This report provides data to understand current patterns of Medicaid enrollees’ use of inpatient and outpatient substance use disorder and mental health treatment services; explains the options for states to access federal Medicaid funds for enrollees receiving IMD services; analyzes current Section 1115 waiver activity; and draws on interviews with policymakers using IMD waivers in Vermont, Virginia, and San Diego County to examine successes and challenges

  • Low-income Californians and Health Care

    Report

    This summary examines key findings from the Kaiser Family Foundation and California Health Care Foundation California Health Policy Survey among low-income Californians. This brief examines the attitudes and experiences of low-income Californians with health care costs, access, and mental health services.

  • California Poll: Access to Mental Health Care, Insurance Coverage, and Affordability Rank among Californians’ Top Health Care Priorities for the New Governor and Legislature

    News Release

    Large Majorities across Parties Say Medi-Cal is Important to the State; Most Residents Say Program is Important to Their Families; Access to Care Remains a Challenge for Some Enrollees Californians rank making health care more affordable among their top overall priorities for the state’s new governor and legislature, with 45 percent citing it as “extremely important,” just behind improving public education (48%) and ahead of affordable housing (40%), finds a new KFF (Kaiser Family Foundation)/California…

  • The Health Care Priorities and Experiences of California Residents

    Report

    This survey by the Kaiser Family Foundation and California Health Care Foundation gauges California residents’ views on health care priorities facing the state’s new governor and legislature, including health care affordability, access to care, mental health and substance use treatment, and provider shortages. It also highlights Californians’ experiences in the health care system, as well as views on the Affordable Care Act, Covered California, Medi-Cal, and proposals to advance a single-payer health insurance system in…

  • Poll: Colorado Voters’ Top Issues for Gubernatorial Race Are Education, Health Care and Housing

    News Release

    Colorado voters most often cite education, health care and housing costs as the top issues for the state’s gubernatorial candidates to discuss ahead of the November elections, finds a new Kaiser Family Foundation/Colorado Health Foundation (KFF/CHF) poll. The poll of more than 1800 residents reveals Coloradans’ views on a wide range of issues leading into the 2018 midterm elections and highlights differences related to health and quality of life among key demographic subgroups, including geography,…

  • Coloradans’ Perspectives on Health, Quality of Life, and Midterm Elections

    Report

    The Kaiser Family Foundation and Colorado Health Foundation conducted a survey of Coloradans examining a wide range of topics leading into the 2018 midterm elections that include voters’ top issues for candidates, residents’ future outlook and priorities for the state, quality of life in Colorado and the affordability of housing, as well as health care concerns over cost, mental health, and substance abuse.