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State Health Policy and Data

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Tracking Insurer Exits and Entries in the ACA Marketplaces. U.S. map shows that as of June 8, 2026, six carriers across 18 states have announced that they will exit the ACA Marketplaces partially or fully for plan year 2027.

Tracking Insurer Participation Changes in the ACA Marketplaces in 2027

As of June 8, six health insurers have announced that they will exit ACA Marketplaces in 18 states next year, potentially leaving hundreds of thousands of ACA enrollees with fewer insurance options. KFF’s new tool tracks changes in ACA insurer participation, including the recently announced exits by Cigna Health, CareSource, PacificSource, Providence Health, Scott and White, and Taro Health.

State by State Data

More than 800 up-to-date, state-level health indicators can be mapped, ranked, and downloaded.

Explore the latest national and state-specific data and policies on women’s health, including health status, insurance coverage, use of preventive services, and more.

Most "dual-eligible" individuals (8.9 million in 2024) are eligible for Medicaid benefits that are not otherwise covered by Medicare, including long-term care.

Use this tool to build a custom report compiling health-related data for a single state or multiple states.

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  • State Medicaid Agencies Prepare for Health Care Reform While Continuing to Face Challenges from the Recession

    Issue Brief

    This report, based on discussions with leading state Medicaid directors in May 2010, examines how Medicaid agencies are preparing for a lead role in implementing health reform while continuing to deal with the impact of the recession. The report augments the most recent annual Medicaid budget survey report, released in September 2009, and a mid-year update report released in February 2010. NOTE: Updated report on fiscal years 2010 and 2011 now available. Report (.pdf)

  • Explaining Health Reform: Eligibility And Enrollment Processes For Medicaid, CHIP and Subsidies in the Exchange

    Issue Brief

    The new health reform law will require most U.S. citizens and legal residents to have health coverage by 2014. It provides new options for coverage by expanding Medicaid eligibility to more low-income people and creating a state-based system of health insurance exchanges through which individuals can purchase coverage, with federal subsidies for many. This brief and accompanying explanatory chart summarize key requirements that states face under health reform to construct coordinated and consumer-friendly enrollment systems…

  • Optimizing Medicaid Enrollment: Spotlight on Technology

    Report

    The health reform law provides for a national expansion of Medicaid in 2014 that will extend eligibility to millions more low-income people, primarily uninsured adults. It also requires implementation of a coordinated system for determining eligibility for Medicaid and subsidized coverage in the new health insurance exchanges. Given the expected new demands on Medicaid eligibility and enrollment systems, and continuing fiscal strains on states, the impetus to streamline and automate Medicaid systems has never been…

  • Medicaid Coverage and Spending in Health Reform: National and State-By-State Results for Adults at or Below 133% FPL

    Report

    This analysis, performed by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, shows that the expansion of Medicaid under the health reform law will significantly increase the number of people covered by the program and reduce the uninsured in states across the country, with the federal government picking up the vast majority of the cost. The analysis is among the first to show for all 50 states and the District of…

  • Resources Examine Medicaid Enrollment Growth And State Budget Pressures

    Fact Sheet

    This package of resources examines the substantial enrollment growth in Medicaid between June 2008 and June 2009 and provides a mid fiscal-year 2010 update on key state Medicaid issues, including the impacts of the economic downturn. News ReleaseWith the country in a deep recession, nearly 3.3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June, according to a new analysis, Medicaid Enrollment: June 2009 Data Snapshot (updated for…

  • Kaiser Analysis Finds Record Medicaid Enrollment Growth in 2009

    News Release

    Largest Ever One-Year Increase Illustrates Medicaid’s Role In Covering People During Economic Downturns But Further Strains Tight State Budgets WASHINGTON, D.C.  – With the country mired in a deep recession, nearly 3.3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June, according to a new analysis by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured.  It was the biggest ever one-year increase in terms of…

  • Medicaid’s Continuing Crunch In a Recession: A Mid-Year Update for State FY 2010 and Preview for FY 2011

    Report

    This report finds that 44 states and the District of Columbia are experiencing higher than expected program enrollment and spending for fiscal year 2010. At least 29 states say they are considering additional mid-year cuts in provider rates and program benefits. The recession and the scheduled end on Dec. 31, 2010 of enhanced federal matching money for Medicaid that was provided through the American Recovery and Reinvestment Act of 2009 will have a significant impact…

  • State High-Risk Pools: An Overview

    Issue Brief

    Health reform bills passed in the House and Senate would create a national high-risk pool insurance program to offer health coverage to otherwise uninsurable individuals during the interim period between the enactment of legislation and the implementation of broader health care reform. This issue brief discusses the structure, operation, benefits and challenges of state high-risk pool programs and describes how temporary national high-risk pool would be created as part of health reform. Issue Brief (.pdf)

  • Alternatives for Financing Medicaid Expansions in Health Reform

    Report

    Expanding Medicaid to cover low-income populations has been a fundamental component of leading health reform proposals. The House Leadership Bill would expand Medicaid to 150 percent of the federal poverty level and the Senate Leadership Bill would expand Medicaid to 133 percent of the federal poverty level. In both scenarios the federal government would finance a substantial share of costs for the expansion groups.  This analysis, however, shows that it is possible to distribute increased…