Racial Equity and Health Policy

The annual update of KFF’s collection of wide-ranging data on health and health care by race and ethnicity is now available, and this year includes measures on mental health care access, mental illness, substance use disorder, suicide rates, and drug overdose death rates. The handy reference, “Key Data on Health…

This chartpack examines how people of color fare compared to White people across a broad array of measures of health coverage, access, and use; health status, outcomes, and behaviors; and social determinants of health to provide insight into the status of racial disparities in health and health care.

Over the course of the pandemic, racial disparities in cases and deaths have widened and narrowed. However, overall, Black, Hispanic, and American Indian and Alaska Native (AIAN) people have borne the heaviest health impacts of the pandemic. While Black and Hispanic people were less likely than their White counterparts to receive a vaccine during the initial phases of the vaccination rollout, these disparities have narrowed over time and reversed for Hispanic people.

Ongoing racism and discrimination, police violence against and killings of Black people, and gun violence also negatively impact health and well-being of Black people. Black people’s repeated and chronic exposure to stressors associated with racism and discrimination drive rapid biological aging and poorer health outcomes.

On January 26, the Centers for Medicare and Medicaid Services (CMS) approved California’s Section 1115 request to cover a package of reentry services for certain groups of incarcerated individuals 90 days prior to release. This approval is the first to include a partial waiver of the statutory Medicaid inmate exclusion policy, which prohibits Medicaid from paying for services provided during incarceration (except for inpatient services).

Response to the victims and communities affected by recent mass shootings has increased national attention to mental health care for Asian and NHOPI people, groups that too often remain overlooked in data and policy discussions related to health disparities. In this analysis, we explore mental illness and low utilization of mental health services among Asian and NHOPI people.

This KFF analysis of U.S. Census data reporting by race and ethnicity comes as the Biden Administration issued proposals for the first potential changes to minimum standards for race and ethnicity data used in federal reporting in 25 years.

This issue brief provides the latest update on some key evolving immigration policies, including Title 42 as it applies to border enforcement, the Deferred Action for Childhood Arrivals (DACA) program, and the public charge rule and discusses the implications of these policies for the health and well-being of immigrants.

Community Health Workers (CHWs) are frontline workers who have close relationships with the communities they serve, allowing them to better liaise and connect community members to health care systems. States may authorize Medicaid payment for certain CHW services under state plan or Section 1115 demonstration authority. States may allow or require managed care organizations (MCOs) to provide CHW services or include CHWs in care teams. Many states use CHW services to address the health needs of targeted populations including enrollees with chronic conditions or complex behavioral or physical health needs, enrollees receiving targeted case management services, or frequent users of health care services

This fact sheet provides data on the health coverage and care of immigrants in the U.S. and highlights latest state actions to expand health coverage for immigrants.