This analysis examines the potential impacts on states and Medicaid enrollees of eliminating the 90% federal match rate for the Affordable Care Act (ACA) expansion. Eliminating the federal match rate for adults in the Medicaid expansion could reduce Medicaid spending by nearly one-fifth ($1.9 trillion) over a 10-year period and up to nearly a quarter of all Medicaid enrollees (20 million people) could lose coverage.| KFF
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.| KFF
Medicaid was designed to care for America's most vulnerable, including those with disabilities, but the advent of ObamaCare changed everything. In a commentary published at The Hill, Able Americans Director Rachel Barkley writes: The Medicaid program changed in 2010 with the passage of the Affor| nationalcenter.org
Approximately one-third of the average state budget actually derives, not from state revenues, but from federal loans and grants. Shortly after taking office, the Trump Administration’s Office of Management and Budget published a memo to halt all grant and loan payments to states while the agency reviewed each payment for compliance with the flurry of executive orders the President had just signed. States immediately complained that they could not access needed funds and 22 state attorneys ...| www.multistate.us
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.| KFF
Nationwide, an estimated 52 million nonelderly adults live with mental illness, and Medicaid covers nearly one in three (29%) of them, or about 15 million adults. More than 1 in 3 Medicaid enrollees has a mental illness. Mental health treatment rates for Medicaid adults are higher than or similar to those with insurance.| KFF
Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute, so long as the approach is likely to “promote the objectives of the Medicaid program.” As with broader Medicaid policy, the future landscape of Section 1115 waivers depends on the outcome of the November 2024 presidential election as a new administration could focus on different priorities, rescind existing guidance, or withdraw alread...| KFF
A House-passed reconciliation bill would reduce federal funding to states that provide state-funded health insurance to people in the U.S. illegally, resulting in 1.4 million people losing coverage, according to a preliminary Congressional Budget Office analysis. But President Donald Trump and Republican lawmakers have wrongly cast the bill as removing these immigrants from Medicaid.| FactCheck.org
Medicaid financing is complex. This policy watch explains how Medicaid financing works, describes various conservative proposals to change Medicaid financing, and explores the implications of those changes for states and enrollees.| KFF
The House Republican budget plan implies substantial cuts in Medicaid, potentially hitting older adults and younger people with disabilities| Howard Gleckman
This brief examines the demographic, socioeconomic, and health characteristics of Medicare-Medicaid enrollees using the 2020 Medicare Current Beneficiary Survey. It highlights the diversity within the Medicare-Medicaid population and how Medicare-Medicaid enrollees differ from all other Medicare beneficiaries.| KFF
As the debate over the future direction of our health care system heats up leading into the 2020 Presidential election, several Democratic proposals to create a single, federal, universal health insurance program known as Medicare-for-all have garnered significant attention. These proposals would replace most current public and private health insurance with a new federal program that would guarantee health coverage for all or nearly all U.S. residents. However, many details about how a new pu...| KFF
In recent years, state legislatures have been the focus of a national operation to repeal laws that protect young people’s health, safety, and educational rights. The campaign to drag labor protections back in time to the 19th century is part of a sweeping, multi-issue effort to further concentrate corporate power, undermine worker rights, and dismantle government regulation, all while cementing wealth inequality by stratifying access to public education and tearing down anti-poverty programs.| State Innovation Exchange