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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 Policy Choices About Medicaid Home and Community-Based Services Amid the Pandemic

    Issue Brief

    This issue brief presents findings on key state policy choices about Medicaid HCBS in FY 2020. This is the latest data available, and the first since the onset of the COVID-19 pandemic. The data were collected in KFF’s 19th survey of state officials administering Medicaid HCBS programs in all 50 states and DC. A related brief presents the latest state-level data about the number of people receiving HCBS and HCBS spending

  • The Impact of the COVID-19 Recession on Medicaid Coverage and Spending

    Issue Brief

    Unlike previous recessions in modern history, this past recession was spurred by the spread of a virus (COVID-19), which created a public health crisis with unique health implications. This brief describes the broader impacts of this most recent recession – which lasted from February 2020 to April 2020 -- and also explores how trends in Medicaid spending and enrollment differed from past recessions and what that might mean for state Medicaid programs moving forward.

  • Marketplace Sign-ups Increased by 21% in 2022

    Feature

    Forty-seven states saw Marketplace enrollment increase, ranging from 1% in Rhode Island to 42% in Texas. In 20 states, enrollment increased by more than 20%.

  • Update on COVID-19 Vaccination of 5-11 Year Olds in the U.S.

    Issue Brief

    This piece provides an analysis of COVID-19 vaccination rates among 5-11 year-old children across the states. Overall, we find wide variation in share of children who have received at least one dose of a COVID-19 vaccine across the states.

  • An Update on Vaccine Roll-Out for 5-11 Year-olds in the U.S.

    Issue Brief

    This data note provides an analysis of COVID-19 vaccination rates among 5-11 year-old children across the states. Overall, we find wide variation in share of children who have received at least one dose of a COVID-19 vaccine across the states.

  • State Restrictions on Telehealth Abortion

    Feature

    If Roe v. Wade is overturned, many states will quickly move to restrict or ban abortions. People seeking an abortion who live in those states may be able to access medication abortion via telehealth if their state does not restrict it and if they are within the first 10 weeks of pregnancy.

  • The Legal Battle Against Federal Vaccine Mandates

    Feature

    Twenty-seven states have joined lawsuits challenging at least one aspect of the Biden administration’s vaccination requirements, but the vast majority are part of multiple lawsuits.

  • Annual Survey of Medicaid Directors Finds States Continue to Adopt Policies to Respond to the Pandemic and Are Addressing Issues Related to Social Determinants of Health and Health Equity

    News Release

    More than 18 months into the COVID-19 pandemic, state Medicaid programs around the country continue to reshape policy in response to the public health emergency and at the same time advance broader initiatives and priorities, including efforts to address the social determinants of health and health equity, finds a new KFF survey. The 21st annual KFF survey of Medicaid directors in states and the District of Columbia highlights policies in place and changes implemented or…