State Fiscal Conditions: Context on Medicaid Budgets for FY 2027
Medicaid is the primary program providing comprehensive health and long-term care to one in five people living in the U.S. and accounts for nearly $1 out of every...
A Closer Look at the $50 Billion Rural Health Transformation Program
Structure The rural health fund will provide $50 billion in grants to states over five years. The rural health fund...
5 Questions and Answers About Medicaid and Provider Taxes
The 2025 reconciliation law imposes significant new restrictions on states’ ability to generate Medicaid provider tax revenue, including prohibiting all...
At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits
The 2025 reconciliation law reduced federal Medicaid spending by an estimated $911 billion from 2025 through 2034, some of which...
Analysis: At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits
An estimated $60 billion in federal Medicaid spending in 37 states (including the District of Columbia) would likely exceed new...
Decoding Medicare Advantage Coding Intensity
In recent years, federal payments to Medicare Advantage plans, and how they are adjusted for enrollee health status, have come...
Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026
The Medicare Advantage quality bonus program, established by the Affordable Care Act, increases Medicare payments to Medicare Advantage plans that...
How Has Projected Medicaid Spending and Enrollment Changed Since Passage of the 2025 Reconciliation Law?
The Congressional Budget Office (CBO), known as Congress’s “scorekeeper,” projects federal spending and revenues over the next decade and cost...
Medicaid Program Integrity: Tracking State-Specific and Nationwide Federal Action
The Trump Administration and Congress continue to focus on rooting out fraud, waste, and abuse in federal programs, including Medicaid. Those efforts include 50-state...
House Appropriations Committee Releases FY 2027 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill & Accompanying Report
The House Appropriations Committee released its Fiscal Year 2027 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS)...














