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Enrollment Growth in the ACA Marketplaces | KFF
This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election. In six states, enrollment more than tripled from 2020 to 2025: Texas, Mississippi, West Virginia, Louisiana, Georgia, and Tennessee.
What Role Do Immigrants Play in The Direct Long-Term Care Workforce? | KFF
To increase understanding of how shifting immigration policies may affect the direct care workforce providing long-term care services, this data note uses the 2023 American Community Survey (ACS) to provide an overview of the role that immigrants play in the direct care workforce for long-term care (LTC) services
ACA Marketplace Enrollment Has More Than Doubled Since 2020, with the Fastest Growth Occurring in States Won by President Trump in 2024 | KFF
Enrollment in Affordable Care Act (ACA) Marketplace health plans reached a record 24.3 million people, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election, a new KFF analysis finds. Almost all states have seen increases in enrollment since 2020, including six<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/affordable-care-act/press-release/aca-marketplace-enrollment-has-more-than-doubled-since-2020-with-the-fastest-growth-occurring-in-states-won-by-president-trump-in-2024/" class="see-more light-beige no-float inline-readmore">More</a></p>
Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies | KFF
A KFF survey of state Medicaid officials examines state Medicaid and CHIP eligibility, enrollment, and renewal policies in place as of January 2025 as states return to routine operations following the unwinding of the continuous enrollment provision. The survey finds that states have broadly adopted policy and system changes to automate and improve the accuracy and efficiency of Medicaid enrollment and renewal processes and provides a baseline of state policies ahead of potential changes to the program.
Patient Cost-Sharing Complexities and Consumer Protections | KFF
This brief focuses on consumers’ understanding of health insurance costs and examines existing federal protections that seek to address barriers to understanding the cost of coverage and care, such as price transparency, self-service price estimator tools, and simplifying cost-sharing designs.
Bird Flu Knowledge, Misleading Claims About Measles Prevention, and Health Content Restrictions — The Monitor | KFF
This volume examines beliefs about bird flu and the false promotion of vitamin A as a measles prevention. It also covers social media content moderation and the misrepresentation of a study on gender-affirming care. Lastly, it explores when people prefer AI chatbots over humans for health information.
5 Key Facts About Medicaid and Provider Taxes | KFF
As Congress weighs potential cuts in federal Medicaid spending through budget reconciliation, one option under consideration is to limit the use of state taxes on providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe states’ current provider taxes and the federal rules governing them.
Putting $880 Billion in Potential Federal Medicaid Cuts in Context of State Budgets and Coverage | KFF
This brief explores the magnitude of the potential federal Medicaid funding cuts under the House budget resolution. This brief puts the $880 billion in cuts in context by comparing the size of the cuts to states’ tax revenues, spending on education, and the number of Medicaid enrollees covered for that cost.
New Rule Proposes Changes to ACA Coverage of Gender-Affirming Care, Potentially Increasing Costs for Consumers | KFF
This brief examines a proposed rule that seeks to change how ACA plans would cover gender affirming care services. If finalized the rule could lead insurers to drop coverage or shift costs to individuals and states, making access to gender affirming care more difficult.
Pharmacies as an Access Point for Expanding Contraceptive Care | KFF
In this brief, we explore avenues for expanding hormonal contraceptive care and supplies through pharmacies, as well as how and where pharmacies and pharmacists may be positioned to fill gaps in contraceptive care where there are few brick-and-mortar family planning providers, as well as the challenges in expanding these pathways.
5 Key Facts About Medicaid Coverage for People with Medicare | KFF
The recently passed House budget resolution targets cuts to Medicaid of up to $880 billion or more over a decade to help pay for tax cuts. Major cuts to Medicaid may impact coverage for the almost 1 in 5 Medicare beneficiaries (12.2 million) who are also enrolled in Medicaid.
Examining School Shootings at the National and State Level and Mental Health Implications | KFF
According to the Washington Post, at least 390,000 students were exposed to a school shooting (exposure is defined as students attending a school at which a shooting occurred during the current school year) since the 1999 Columbine shooting. This brief analyzes the rate of student exposure to school shootings over time at the national and state level. Exposure rates depend on factors including school enrollment size and state population size. Therefore, even a single school shooting incident in a state can impact many youths beyond those that are physically injured and may significantly increase exposure rates.
5 Key Facts about Medicaid Program Integrity | KFF
Program integrity efforts work to prevent and detect fraud, waste, and abuse, to increase program transparency and accountability, and to recover improperly used funds. This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.
Congress passes Full-Year Continuing Resolution Bill, maintaining global health funding at prior year levels | KFF
On March 15, 2025, the President signed a full-year “continuing resolution” (CR) that continues funding the federal government through the rest of the fiscal year. It maintains U.S. global health funding at the prior year (FY 2024) level ($10.8 billion).[i] The Full-Year Continuing Appropriations and Extensions Act, 2025, which was passed by the House on<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/global-health-policy/fact-sheet/congress-passes-full-year-continuing-resolution-bill-maintaining-global-health-funding-at-prior-year-levels/" class="see-more light-beige no-float inline-readmore">More</a></p>
Will the Trump Administration Fast Track the Privatization of Medicare | KFF
The privatization of Medicare has been taking place without much public debate – a trend that has implications for the 68 million people covered by Medicare, health care providers, Medicare spending, and taxpayers. It's not yet clear whether the administration will promote policies to accelerate the privatization of Medicare or focus more on achieving efficiencies and savings within Medicare Advantage, or pursue policies that aim to achieve both. How this plays out will have implications for beneficiaries, health care providers and insurers, and is worthy of serious debate.
Poll: Most Republicans Do Not Trust CDC On Bird Flu | KFF
As bird flu continues to circulate among animals in the U.S. with some human cases, about six in 10 (58%) people overall have at least “a fair amount” of trust in the Centers for Disease Control and Prevention (CDC) to provide reliable information about bird flu, though only 21% have a “great deal of trust,”<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/health-information-and-trust/press-release/poll-most-republicans-do-not-trust-cdc-on-bird-flu/" class="see-more light-beige no-float inline-readmore">More</a></p>
KFF Tracking Poll on Health Information and Trust: Bird Flu | KFF
As bird flu continues to spread among animals in the U.S., KFF's Tracking Poll on Health Information and Trust finds that the public is more concerned about its impact on food prices than potential health impacts. Trust in the CDC to provide information on bird flu is also divided along partisan lines, and a large share of the public is uncertain about public health agencies' recommendations for preventing infection.
COVID Vaccine Concerns and Claims About Ivermectin | KFF
This volume covers recent claims about COVID vaccine safety after a new study describes a rare condition it calls “post-vaccination syndrome” (PVS). It also investigates the false claim that ivermectin can treat cancer and highlights the re-emergence of concerns online about Gardasil, and its alleged mortality rate.
A Backlash Against Health Insurers, Redux | KFF
In this JAMA Health Forum post, Executive Vice President Larry Levitt recalls the mid-1990s’ public backlash against Health Maintenance Organizations (commonly known as HMOs) – all of which preceded the recent outpouring of health insurance concerns – as well as how consumer protections against coverage restrictions have evolved and fallen short.
How Has the Quality of the U.S. Health Care System Changed Over Time? | KFF
This chart collection examines five types of indicators: outcomes of treatment, provision of appropriate treatment, patient safety, preventive services, and health system capacity and workforce shortages. Measuring quality in health care is complex: a vast number of metrics are used to monitor health system performance since there is no singular definition of quality, and data is often limited and delayed.
7 Charts About Public Opinion on Medicaid | KFF
This data note provides an overview of recent KFF polling on the public’s views of and connections to Medicaid, the federal-state government health insurance for certain low-income adults and children and long-term care program for adults 65 and older and younger adults with disabilities.
Poll: With More Than Half the Public Saying They or a Family Member Have Been Covered by Medicaid, Large Majorities Don’t Want Cuts, Including Most Trump Voters and Rural Residents | KFF
As Congress considers changes to the Medicaid program as part of the budget debate, relatively few (17%) in the public say they want to see a reduction in Medicaid spending, with larger shares saying they want spending to stay about the same (40%) or increase (42%), a new KFF Health Tracking Poll finds. Support for<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/medicaid/press-release/poll-with-more-than-half-the-public-saying-they-or-a-family-member-have-been-covered-by-medicaid-large-majorities-dont-want-cuts-including-most-trump-voters-and-rural-residents/" class="see-more light-beige no-float inline-readmore">More</a></p>
U.S. Public Health | KFF
This Health Policy 101 chapter examines how public health is governed and delivered in the United States. The chapter includes explanations of key public health frameworks, services, capabilities and characteristics, how the public health system works in state, local and territorial governments, public health funding, workforce, and communication challenges in an era of declining trust and more.
The Public’s Views on Potential Changes to Medicaid | KFF
Amid discussion of changes to the Medicaid program, most of the public say that Medicaid is important to their local communities. About two in ten favor cuts to Medicaid spending. Support for Medicaid cuts remain low even among typically conservative groups such as Republicans, Trump voters, and those living in rural communities. The poll also gauges the impact of arguments for and against Medicaid work requirements and reductions to federal spending on ACA expansion.
Poll: Two Thirds Believe Dissolving USAID Will Lead to More Illness and Death Globally, While Nearly Half Say It Would Significantly Reduce the Budget Deficit and Fund Domestic Programs | KFF
As the Trump administration works to dissolve the U.S. Agency for International Development (USAID), a new KFF poll finds that two-thirds (67%) of the public believe these actions will increase illness and death in low-income countries, and a similar majority (62%) believe it will result in more humanitarian crises around the world. At the same<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/global-health-policy/press-release/poll-two-thirds-believe-dissolving-usaid-will-lead-to-more-illness-and-death-globally-while-nearly-half-say-it-would-significantly-reduce-the-budget-deficit-and-fund-domestic-programs/" class="see-more light-beige no-float inline-readmore">More</a></p>
The Public’s Views on Global Health and USAID | KFF
This poll finds most of the public believe the cutbacks at USAID will lead to increases in illness and death in low-income countries. Nearly half say it will reduce the U.S. budget. Most of the public also overestimates the share of the federal budget that is spent on foreign aid, and when informed it is about 1% of the federal budget, the share who want to reduce spending drops.
Criminal Penalties for Physicians in State Abortion Bans | KFF
This brief examines the legal considerations for physicians providing abortion care, including criminal and professional penalties, as well as the potential for medical malpractice lawsuits for delayed care to patients due to bans and prosecution for violation of abortion bans across state lines.