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Racial Equity and Health Policy

Immigrants

States Have Enacted or Proposed a Range of Legislation That Will Affect Immigrants’ Access to State-Funded Health Coverage

This policy watch summarizes recent proposed actions by states related to state-funded health coverage for immigrants and trends in other legislation enacted during the 2025 session that have implications for immigrants.

Related: Key Facts on Health Coverage of Immigrants

5 Key Facts About Immigrants and Medicaid

Role of Immigrants in the Hospital Workforce

Policy Bars Many Immigrants from a Broad Range of Federal Health and Social Supports

Potential Impacts of 2025 Budget Reconciliation on Health Coverage for Immigrant Families

Racism, Discrimination and Health

Physician Workforce Diversity by Race and Ethnicity

Racial and ethnic disparities in health remain persistent in the U.S. of health care services and broader social and economic factors that reflect historical and ongoing racism. One factor that can mitigate such disparities is when physicians and patients share the same racial or ethnic background.

Data show that in the U.S. Hispanic, Black, AIAN, and NHPI people were underrepresented among physicians relative to their share of the population. The widest gap was seen among Hispanic people, who comprised 20% of the total population but only 7% of the physician workforce.

Executive Orders Eliminating Diversity and Disparities Initiatives May Widen Disparities

State Reported Efforts to Address Health Disparities: A 50 State Review

KFF Survey on Racism, Discrimination and Health: Views on Racism and Trust in Key U.S. Institutions

Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them

Survey of Immigrants

A Majority of Lawfully Present Immigrants Are Worried They or a Family Member Could Be Detained or Deported

A new KFF poll finds six in 10 lawfully present immigrants say they worry about the possibility that they or a family member could be detained or deported, contributing to feelings of increased stress, anxiety, and other health problems. A companion report based on focus groups provides a window into how likely undocumented immigrants and their families are faring in the current immigration policy landscape.
Interactive Timeline

How History Has Shaped Racial and Ethnic Health Disparities: A Timeline of Policies and Events

This interactive timeline explores how history has shaped racial and ethnic health disparities and the lasting effects that persist to this day.

The timeline describes major U.S. federal policies and events since the early 1800s that are linked to present-day health disparities. It also covers policies that impact health coverage and access to care, medicine, and social and economic policies that influence health as well as efforts to tackle inequalities.
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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  • The Truth About Those ‘Greedy’ Seniors

    From Drew Altman

    In The Wall Street Journal’s Think Tank, Drew Altman asks, "what’s your image of America’s seniors?" and provides some facts on the income and assets of Medicare enrollees.

  • Health Coverage and Care in the South in 2014 and Beyond

    Issue Brief

    This issue brief provides an overview of health coverage and care in the South today, with a focus on demographics, the impact of the ACA coverage expansions, and ongoing efforts to improve the delivery system and safety net in the South.

  • Estimates of Eligibility for ACA Coverage among the Uninsured by Race and Ethnicity

    Issue Brief

    This analysis provides national estimates of eligibility for ACA coverage options by race/ethnicity, including Whites, Blacks, and Hispanics. We estimate coverage and eligibility as of early 2015, which is prior to the end of the 2015 Marketplace open enrollment period. Overall, this analysis finds that more than half (55%) of the total 32.3 million nonelderly uninsured are people of color, including 34% who identify as Hispanic, 14% who identify as Black, and 8% who identify as another group or mixed race.

  • What Do We Know about Social Determinants of Health in the U.S. and Comparable Countries?

    Feature

    Social determinants, such as individual and community behaviors, economic circumstances, and environmental factors, can influence health costs and outcomes, despite being outside the control of the health system in some respects. This slideshow explores social determinants and health outcomes in the United States and similar countries. The collection looks at income inequality, obesity, educational attainment, and rates of insurance, as well as behaviors such as cigarette and alcohol consumption. Health outcomes, such as disease burden from drug abuse disorders and motor vehicle road injuries, also are examined, along with measures such as years of life lost due to firearms assaults and death rates from accidental poisonings.

  • 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.

  • 8 Questions & Answers about Puerto Rico

    Fact Sheet

    These slides provide a quick snapshot of Puerto Rico’s population, as well as current and upcoming issues that are impacting the island’s health care system.

  • Race, Ethnicity & Medical Care: A Survey of Public Perceptions and Experiences

    Poll Finding

    Toplines This is a copy of the results of a telephone survey conducted on a random, national sample of nearly 4,000 African American, Latino and white adults, 18 years of age and older. The questions were designed to reveal what each respondent believed about the impact of race and ethnicity on medical care today.

  • Los Latinos y el VIH/SIDA

    Fact Sheet

    Latinos and HIV/AIDS (Spanish version) This fact sheet provides an overview of the HIV/AIDS epidemic in the United States as it has affected Latinos, including information on the disproportionate impact of HIV/AIDS on the Latino community and a current case profile. It is available in English and Spanish.

  • Race, Ethnicity and Medical Care: Improving Access in a Diverse Society

    Report

    In an effort to address the racial inequities in health care that exist today, the Kaiser Family Foundation brought together leading public and private sector policymakers -- including health professionals, educators, civil rights leaders, and consumer organizations -- to review the evidence and race and medical care and discuss what can be done to address inequities in care.