Racial Equity and Health Policy

the Essentials
  • Disparities in Health and Health Care: 5 Key Questions and Answers

    This brief provides an introduction to what health and health care disparities are, why it is important to address them, what the status of disparities is today, recent federal actions to address disparities, and key issues related to addressing disparities in the future.
  • 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.

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  • Quick Takes: Timely insights and analysis from KFF staff

    Race Is a Social Category, Not a Biological One

    Quick Take

    Sen. Angela Alsobrooks questioned [Kennedy] about earlier statements he has made suggesting that Black people should not adhere to the same vaccine schedule as White people because “their immune system is better than ours.” … Race is a poor proxy for genetic ancestry and large genetic studies have demonstrated more variation within defined racial groups (intra-racially) than there are between different racial groups (inter-racially).

  • A Look at Federal Health Data Taken Offline

    Policy Watch

    This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly describing the affected databases, which include widely used, large-scale national health surveys, indices, and data dashboards, that inform research, policy making, and media coverage about health care and public health.

  • How are States Addressing Racial Equity in COVID-19 Vaccine Efforts?

    Issue Brief

    This brief reviews information available through state websites and publicly available vaccine distribution plans to provide greater insight into how states are addressing equity through vaccine allocation and distribution strategies, outreach and communications efforts, and data collection and reporting. It provides a snapshot and examples of state efforts in these areas.

  • COVID-19 Vaccinations by Race/Ethnicity: Differences and Limitations Across Measures

    Issue Brief

    While the federal, state, and survey data all show narrowing racial disparities in COVID-19 vaccination rates over time, they vary in the magnitude of this narrowing, with some surveys showing that gaps have closed, while the administrative data pointing to some remaining differences. This variation in findings reflects both differences and limitations across the datasets.

  • The Impact of the Coverage Gap for Adults in States not Expanding Medicaid by Race and Ethnicity

    Issue Brief

    The Affordable Care Act (ACA) expansion of Medicaid to adults with incomes at or below 138% of the federal poverty level (FPL) effectively became a state option following the Supreme Court decision, creating a “coverage gap” for many poor uninsured adults in states that do not expand Medicaid. This brief examines the coverage gap by race and ethnicity.

  • Michigan’s Medicaid Section 1115 Waiver to Address Effects of Lead Exposure in Flint

    Fact Sheet

    On February 13, 2016, Governor Rick Snyder submitted a Medicaid Section 1115 Waiver proposal to the Centers for Medicare and Medicaid Services (CMS) to address issues related to lead exposure in Flint, Michigan. This fact sheet provides some insight into the situation in Flint, Michigan, the history of Medicaid disaster relief waivers and the details of the Medicaid waiver request.

  • One Year after the Storms: Recovery and Health Care in Puerto Rico and the U.S. Virgin Islands

    Issue Brief

    One year after Hurricanes Irma and Maria made landfall, Puerto Rico and the U.S. Virgin Islands (USVI) are still feeling the storms’ effects. Drawing on key stakeholder interviews and public reports, this brief provides an overview of recovery status and preparation efforts for the current hurricane season one year after the storms, with a focus on the territories’ health care systems.

  • Five Key Facts About Black Immigrants’ Experiences in the United States

    Issue Brief

    Black immigrants come to the U.S. seeking more opportunities for themselves and their children, and most report improved educational opportunities and employment and financial situations as a result of moving to the U.S. However, Black immigrants report disproportionate levels of unfair treatment and discrimination in their workplaces, communities, and when seeking health care, reflecting the intersectional impacts of racism and anti-immigrant sentiment.