9 Things to Watch for the 2027 ACA Open Enrollment Period
The Affordable Care Act (ACA) Marketplace 2027 Open Enrollment period starts November 1, 2026, in most states. In 2026, the...
Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?
Amidst challenging fiscal conditions and upcoming national and state elections, states are working to implement major federal changes to Medicaid....
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...
