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Based on draft reconciliation language from the Energy & Commerce Committee, the Congressional Budget Office (CBO) released preliminary estimates showing proposed Medicaid changes would reduce federal Medicaid spending by $625 billion. Building on earlier KFF analysis, this analysis puts this magnitude of federal funding cuts into context by showing how the cuts relate to states’ budgets and exploring the potential effects on Medicaid enrollment by state.
DATE: May 16, 2025 Earlier this week, the House Energy and Commerce and Ways and Means Committees both proposed a series of Medicaid and ACA changes, including new work and verification requirements, a reduction in the expansion match rate for states that use their own funds to cover undocumented immigrants, a freeze on provider taxes,<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/media-call-reconciliation-bills-medicaid-aca-provisions/" class="see-more light-beige no-float inline-readmore">More</a></p>
This issue brief presents data from the most recent tracking poll asking if people have ever visited a Planned Parenthood clinic for health care services and looks at the funding cuts Planned Parenthood is currently facing including Medicaid, Title X, and Teen Pregnancy Prevention funds.
This analysis details the number of people who would become uninsured from policy changes in the ACA Marketplace and Medicaid. The Congressional Budget Office estimates that, taken together, these changes will result in at least 13.7 million more uninsured people in the year 2034 than would otherwise be the case.
KFF is tracking the Medicaid provisions in the 2025 federal budget bill, including new Medicaid work and verification requirements and a reduction in the expansion match rate for states that use their own funds to cover undocumented immigrants.
The Biden administration finalized several major Medicaid regulations with the intent of improving access to Medicaid services. Collectively, the rules span hundreds of pages of text, are extremely complex, and were set to be implemented over several years, with measurable increases in federal Medicaid spending. Overturning the rules would reduce regulation of managed care companies, nursing facilities, and other providers; increase barriers to enrolling in and renewing Medicaid coverage, and roll back enrollee protections, payment transparency, and requirements for improved access.
This volume examines findings about trusted sources of vaccine information from the latest KFF Tracking Poll on Health Information and Trust. It also explores how the misrepresentation of studies and policy developments contribute to health narratives around vaccines, HIV and PrEP. Lastly, it summarizes new research on the use of generative AI to counteract vaccine misinformation.
During his second term, President Trump has implemented an array of immigration policy changes focused on restricting immigration and increasing interior immigration enforcement efforts. These policy changes include restrictions on both lawful and unlawful immigration into the U.S., increased interior enforcement activities to support mass deportation, attempts to end birthright citizenship for the children of noncitizen immigrants, and rescinding protections against enforcement action in previously protected areas such as schools, churches, and health care facilities. These actions have broad impacts across immigrant families of all statuses, including the millions of U.S. citizen children living in them.
The interactive maps illustrate how many people are enrolled in Medicare and Medicaid in each congressional district, including the number of people receiving full Medicaid and partial Medicaid benefits.
The latest KFF Survey of Immigrants finds that immigrants’ worries about detention or deportation have risen sharply since 2023, even among lawfully present immigrants and naturalized citizens. This poll finding includes new insights about immigrants’ attitudes and experiences during the early days of President Trump’s second term.
This brief examines the main points raised in an HHS report reviewing evidence on gender affirming care concerning psychotherapy. It focuses on recommendations around “exploratory therapy,” which could include gender conversion practices, as well as the current legal and policy environment across the country regarding this practice.
This analysis provides data on women experiencing intimate partner violence (IPV) and reports on a range of health topics affecting women who experienced IPV in the past five years, including their health care needs and use, barriers, and mental health.
As the Trump administration overhauls government health agencies, partisan trust in these agencies on vaccines has shifted and few express confidence in their ability to carry out key tasks. Most adults are confident in the safety of routine vaccines, but the COVID-19 vaccines remain polarizing with many uncertain about false claims regarding mRNA technology.
This analysis examines the share of inpatient hospital days that are covered by Medicaid nationally and by state at a time when Congress is considering potential cuts to the program. It finds that Medicaid covered at least one in five inpatient hospital days in 48 states and the District of Columbia in 2023.
Five years after the start of COVID-19 pandemic and the communications challenges, divisions, and false claims that followed, less than half of the public say they have at least some confidence in the federal government’s health agencies like the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) to carry<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/health-information-and-trust/press-release/as-covid-19-divisions-attacks-and-misinformation-take-their-toll-less-than-half-of-the-public-is-confident-that-the-cdc-and-fda-can-carry-out-core-functions/" class="see-more light-beige no-float inline-readmore">More</a></p>
Recent actions from the Trump administration could signal limits to curtail Medicaid waivers related to social determinants of health and to limit waiver financing tools and flexibility. Two major changes demonstrate this shift: (1) rescinding Biden-era guidance on covering health-related social needs (HRSN) services, and (2) phasing out federal funding for “Designated State Health Programs” (DSHP) in waivers.
A new KFF analysis examines a range of measures that may make it harder for states to respond to possible federal Medicaid cuts and finds that six states (Kentucky, Mississippi, Missouri, New Mexico, South Carolina, and West Virginia) rank in the top five for multiple risk categories. Across four broad categories of measures that could affect demand for Medicaid and states’ abilities to raise revenue or reduce spending—population demographic characteristics, health status of Medicaid enrollees, available revenue and state budget choices, and health care costs and access to care—KFF finds that 15 states rank in the top five for at least one category of risk factors.
On May 2, 2025, the White House released preliminary details of its FY26 budget request, including funding for global health activities at the State Department, U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and the Fogarty International Center (FIC) at National Institutes of Health (NIH). While funding amounts for most<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/global-health-policy/fact-sheet/white-house-releases-fy26-budget-request/" class="see-more light-beige no-float inline-readmore">More</a></p>
This data note documents differences by sex in the work status of adult Medicaid enrollees ages 19-64 who were not receiving Supplemental Security Income (SSI) and were not dually eligible for Medicare in 2023, and highlights differences by parent status.
As the Trump administration and Congress pursue broad cuts to federal health agencies and budgets, most of the public, including some Republicans, oppose deep budget and staffing cuts to federal health programs and agencies, a new KFF Health Tracking Poll finds. Across a range of questions, large majorities of Democrats and independents oppose the Trump<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/affordable-care-act/press-release/most-of-the-public-oppose-major-federal-cuts-to-health-agencies-and-programs-and-say-they-have-been-made-recklessly/" class="see-more light-beige no-float inline-readmore">More</a></p>
Amid sweeping cuts to federal government health agencies by the Trump Administration, much of the public opposes cuts to funding and staffing, including some Republicans. Support of many of these cuts is largely partisan, however, there is agreement across parties when it comes to opposing cuts to Social Security, Medicare, and Medicaid.
This brief considers how default enrollment into Medicare Advantage might work, potential challenges with this approach, and implications for beneficiaries, insurers, providers, agents and brokers, and the federal budget.
This analysis examines the share of Medicare Advantage enrollees in contracts (which usually include multiple plans) that offered rewards or incentives for completing health risk assessments (HRAs) in 2023, as well as differences across Medicare Advantage insurers.
This analysis examines the potential impacts on states and Medicaid enrollees of implementing a per capita cap on the federal share of Medicaid spending for the ACA Medicaid expansion population only, which is another proposal that has been discussed by members of Congress.
Using data from the 2022 National Agricultural Workers Survey (NAWS), this issue brief examines key characteristics of agricultural workers, including their citizenship status, health coverage, and access to health care. The Trump administration’s restrictive immigration policies may compound health challenges and risks this groups faces and have negative impacts on the cost and availability of food.
This Monitor highlights April KFF Tracking Poll findings on perceptions about measles and explores the unsubstantiated promotion of budesonide and clarithromycin as treatments. It also covers misrepresentations of syringe programs and how prompting strategies can boost the accuracy of AI chatbots on health questions.
To understand the role of Medicare Part D stand-alone prescription drug plans in serving rural Medicare beneficiaries, this data note analyzes 2025 Part D enrollment in PDPs and Medicare Advantage drug plans by geographic area nationally and at the state level.
This poll looks at awareness and concern over the outbreak of measles in the U.S. and finds that a growing share of adults is encountering false claims about the measles vaccines, but many are uncertain whether these claims are true or false. Parents who lean toward believing the false claims are less likely to say they keep their children up to date on routine vaccinations.
With health officials reporting 800 measles cases in multiple states already this year, most of the public – and most parents – report hearing at least one false claim about measles or the vaccine for it, and many of them aren’t sure what to believe, the latest KFF Tracking Poll on Health Information and Trust<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/health-information-and-trust/press-release/amid-growing-measles-outbreak-more-americans-are-encountering-false-claims-about-the-measles-vaccine-and-many-arent-sure-what-to-believe/" class="see-more light-beige no-float inline-readmore">More</a></p>