Recent State Actions Related to Immigrants’ Access to Services and Immigration Enforcement
During the 2025 and 2026 legislative sessions, states enacted or proposed a range of legislation that will impact immigrants’ access...
A Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls
On April 30, 2026, North Carolina Governor Josh Stein signed legislation that includes Medicaid policy changes and closes an estimated...
State Health Coverage for Immigrants and Implications for Health Coverage and Care
As of 2024, there were 24 million noncitizen immigrants, including lawfully present and undocumented immigrants, living in the U.S. Noncitizen...
Key Facts about the Uninsured Population
How many people are uninsured? For the first time since 2019, the number of people without health coverage and the...
OBBBA summary: What it means for coverage and cash flow
At A Glance The One Big Beautiful Bill Act (OBBBA) overhauls federal healthcare funding, coverage and eligibility verification, with major...
Medicaid Workers and Job-Based Insurance: Who Is Offered, Eligible, and Enrolled?
Passage of the 2025 reconciliation law, also known as the “One Big, Beautiful Bill,” in July 2025 and the inclusion...
A Look at the Medicaid Payment Error Rate Measurement (PERM) Program and Upcoming Changes and Impacts
Box 1: The improper payment rate has changed over time, largely due to the ACA implementation and the COVID-19 public...
How can hospitals adapt to evolving Medicaid and coverage rules?
At A Glance Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the...
Challenges with Implementing Work Requirements: Findings from a Survey of State Medicaid Programs
On July 4, President Trump signed into law a budget and tax bill that includes significant changes to the Medicaid program including new requirements...
Recent Trump Administration Policies that Impact Health Coverage and Care for Immigrant Families
Introduction Immigrants form a growing share of the U.S. population and workforce, and as of 2024, there were over 50...
