Racial Equity and Health Policy

the Essentials
  • How Experiencing Racial Discrimination Impacts Health

    This brief highlights research examining mechanisms underlying health outcomes linked to self-reported experiences of racial discrimination, including biological changes, chronic stress, mental health, substance use, pregnancy-related outcomes, and sleep.
  • Timeline: How History Has Shaped Racial and Ethnic Health Disparities

    This timeline offers a historical view of significant U.S. federal policies and events spanning the early 1800s to today that have influenced present-day health disparities.
  • Health Policy 101: Chapter on Race, Inequality and Health

    Addressing persistent racial and ethnic disparities in health and health care is important for improving the nation’s health and economic prosperity. KFF explains such disparities and the factors that drive them, examines the actions to address them, and outlines future considerations.
  • Key Data on Health and Health Care by Race and Ethnicity

    Racial and ethnic disparities in health and health care remain a persistent challenge in the United States. An updated KFF resource examines how people of color fare compared to White people across 64 measures of health, health care, and social determinants of health.

Survey of Immigrants

KFF-New York Times Survey: Immigrants Report Rising Fear, Negative Economic and Health Impacts, and Changing Political Views During the First Year of President Trump’s Second Term

The 2025 Survey of Immigrants, a partnership between KFF and The New York Times, takes an in-depth look at the experiences of immigrants during the first year of President Trump’s second term, including their worries related to increased immigration enforcement, their health and economic wellbeing, and the political views and preferences of immigrant voters. The survey paints a portrait of families under strain — where fear of detention and economic instability are negatively impacting immigrants’ health and reshaping immigrant families’ daily lives and views of U.S. political parties.

Read the News Release | Explore The New York Times’ Reporting

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  • Health Policy 101 Introduction

    Feature

    Health Policy 101 is a comprehensive guide covering fundamental aspects of U.S. health policy and programs, including Medicare, Medicaid, the Affordable Care Act, employer-sponsored insurance, the uninsured population, health care costs and affordability, women's health issues, and health care politics. It includes overviews of private health insurance regulation, racial and ethnic disparities, public health, international comparison of health systems, U.S. global health policy, and the federal role in health policy. The chapters can be downloaded…

  • Black and Hispanic Adults with Fair or Poor Mental Health Are Less Likely Than White Adults to Say They Received Mental Health Services, Reflecting Cost Concerns and Other Barriers to Care

    News Release

    A new KFF analysis of our 2023 Survey of Racism, Discrimination, and Health finds that Black (39%) and Hispanic (36%) adults who report fair or poor mental health are less likely than White (50%) adults to say they received mental health services in the past three years. Such disparities reflect several barriers to mental health care identified by these adults. In addition to cost concerns and being too busy or not being able to get…

  • Who is at Risk Amid the H5N1 Influenza Outbreak? Characteristics and Health Coverage of Animal Production Workers

    Issue Brief

    This analysis uses data on “animal production workers” from the 2022 American Community Survey to examine characteristics of workers who may be at risk for exposure to H5N1 avian influenza, which has been found in dairy cattle herds in nine U.S. states as of May 14, 2024. The analysis compares characteristics of these workers to all U.S. workers, to all workers in the H5N1-affected states, and draws out some implications. Among the findings are that…

  • Language Barriers in Health Care: Findings from the KFF Survey on Racism, Discrimination, and Health

    Poll Finding

    In the U.S., 26 million people have limited English proficiency, representing about 8% of people ages 5 and older. Those with limited English proficiency report worse overall health status than those who are English proficient, but data suggests that having access to providers who speak their preferred language may help these disparities and can improve health care experiences.

  • KFF Examines New Rule Giving LGBTQ+ People More Protections Against Discrimination in Health Care

    News Release

    A long-awaited new rule recently finalized by the Biden Administration gives LGBTQ+ people more protections against discrimination when seeking health care and coverage from a range of programs and organizations, including Medicaid, Medicare, Health Insurance Marketplaces, many health insurance plans, and most hospitals and providers. The rule has been subject to a wave of litigation across the Obama, Trump, and Biden Administrations and the Biden Administration's new rule reinstates protections eliminated by the Trump Administration.…

  • The Biden Administration’s Final Rule on Section 1557 Non-Discrimination Regulations Under the ACA

    Issue Brief

    This brief overviews the Biden Administration’s 2024 final rule implementing Section 1557 of the ACA, which is home to the law’s major nondiscrimination provisions. It provides a brief background on 1557 rulemaking and identifies key differences between this rule and the 2020 rule from the Trump Administration. It highlights two areas of growing interest impacted by the rule – nondiscrimination protections related to pregnancy and nondiscrimination protections for transgender people. Table 2 summarizes the major…

  • What the Data Show: Black Women Report More Pervasive Negative Experiences in Health Care Compared to Other Groups

    News Release

    A new analysis of data from KFF’s Survey on Racism, Discrimination, and Health shows Black women are more likely than other groups to report being treated unfairly by a health care provider in recent years because of their race and ethnicity and that these experiences have health consequences. For example, among Black women who used health care in the past three years, 34% report at least one of three consequences because of a negative experience…

  • Five Facts About Black Women’s Experiences in Health Care

    Issue Brief

    This brief examines Black women's experiences in health care, including unfair treatment by providers due to race and their health outcomes as a result of this treatment. The brief also explores the association between racially concordant providers and positive health care experiences among Black women.

  • More States Are Providing Fully State-Funded Health Coverage to Some Individuals Regardless of Immigration Status

    News Release

    More states are providing fully state-funded health coverage to some individuals regardless of immigration status.  An updated KFF analysis shows that as of March 2024, 12 states and Washington D.C. provide fully state-funded coverage for income-eligible children regardless of immigration status. These states include California, Connecticut, Illinois, Maine, Massachusetts, New Jersey, New York, Oregon, Rhode Island, Utah, Vermont, and Washington.Six states -- California, Colorado, Illinois, New York, Oregon, and Washington, plus D.C. -- have also…