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...
A Look at the GENEROUS Model and Factors That Could Impact Medicaid Drug Costs
While spending on prescription drugs accounts for a relatively small share of overall Medicaid spending, Medicaid drug spending has grown...
Comparing States’ Rural Health Fund Allotments to Medicaid Spending Cuts Can be Misleading
The 2025 reconciliation law made historic cuts to federal support for health care, including an estimated $911 billion in cuts...
First-Year Rural Health Fund Awards Range From Less Than $100 Per Rural Resident in Ten States to More Than $500 in Eight
On December 29, 2025, the Centers for Medicare & Medicaid Services (CMS) announced first-year state awards from the $50 billion...
Status of State Medicaid Expansion Decisions
The Affordable Care Act’s (ACA) Medicaid expansion expanded Medicaid coverage to nearly all adults with incomes up to 138% of...












