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...
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...
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...
What to Know About Recent Federal Actions Involving State Medicaid Program Integrity
The Trump Administration continues its focus on rooting out fraud, waste, and abuse in federal programs, including Medicaid. In March 2026, President Trump...
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...
