Kaiser Family Foundation

KFF focuses on providing reliable information about important national health matters. The Kaiser Family Foundation is a respected nonprofit organization known for its work in health policy research, journalism, and surveys. It operates independently and is not connected to Kaiser Permanente or Kaiser Industries.

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Proposed Medicaid Federal Match Penalty for States that Have Expanded Coverage for Immigrants: State-by-State Estimates

2 weeks ago | kff.org | Elizabeth Williams |Drishti Pillai |Akash Pillai |Samantha Artiga

Note: This piece was originally published on May 21, 2025 and was updated on May 22, 2025 to reflect revisions made in the version of the bill passed by the House. The House reconciliation bill will substantially reduce federal Medicaid spending and coverage and increase the number of uninsured according to estimates from the Congressional Budget Office (CBO).
Proposed Medicaid Federal Match Penalty for States that Have Expanded Coverage for Immigrants: State-by-State Estimates

2 weeks ago | kff.org | Elizabeth Williams |Drishti Pillai |Akash Pillai |Samantha Artiga

Note: This piece was updated on May 21, 2025 to reflect a recent revision made to the reconciliation bill to broaden the FMAP penalty to states that have taken up a federal option to expand coverage for lawfully residing children and/or pregnant people in Medicaid and/or CHIP. The House reconciliation bill will substantially reduce federal Medicaid spending and coverage and increase the number of uninsured according to estimates from the Congressional Budget Office (CBO).
How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State?: Allocating CBO’s Partial Estimates of Coverage Loss

2 weeks ago | kff.org | Alice Burns |Jared Ortaliza |Justin Lo |Matthew Rae

House Republicans are currently considering a reconciliation package that would make significant changes to Medicaid and the Affordable Care Act (ACA) Marketplaces.
The Spotlight Is on Medicaid Cuts, But the ACA Marketplaces Could See a One-Third Cut in Enrollment

2 weeks ago | kff.org | Drew Altman

While all eyes are on the big Medicaid cuts being proposed in the House, significant changes are also being proposed that together would dramatically reduce enrollment in the ACA Marketplaces. So far, the Marketplace changes have received comparatively little attention even though they could reduce enrollment by about one third, driving up the number of uninsured in the country.
Proposed Medicaid Federal Match Penalty for States that Cover Undocumented Immigrants with Their Own Funds: State-by-State Estimates

2 weeks ago | kff.org | Elizabeth Williams |Drishti Pillai |Akash Pillai |Samantha Artiga

The House reconciliation bill will substantially reduce federal Medicaid spending and coverage and increase the number of uninsured according to estimates from the Congressional Budget Office (CBO). The bill includes a provision that seeks to reduce federal Medicaid funding to states as a penalty for providing coverage to undocumented immigrants with their own state funds.
Marketplace Enrollees with Unpredictable Incomes Could Face Bigger Penalties Under House Reconciliation Bill Provision

2 weeks ago | kff.org | Justin Lo |Matthew Rae |Gary Claxton |Jared Ortaliza

New legislative proposals released this week could potentially expose Marketplace enrollees to higher costs if their income at the end of the year differs from what they originally estimated. Most Marketplace enrollees (92% in 2025) receive a tax credit to help pay their premiums, and the vast majority of those receive the credit in advance to lower their monthly payments, rather than when they file their taxes.
Potential Impacts of 2025 Budget Reconciliation on Health Coverage for Immigrant Families

3 weeks ago | kff.org | Drishti Pillai |Samantha Artiga

Congressional Republicans are considering a budget reconciliation package that would make significant changes to Medicaid and the Affordable Care Act (ACA), with a number of provisions specifically limiting access to health coverage for immigrants.
Status of State Medicaid Expansion Decisions | KFF

3 weeks ago | kff.org

This page displays an interactive map of the current status of state decisions on the Affordable Care Act's Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.
On Medicaid Expansion, History Matters

4 weeks ago | kff.org | Drew Altman

Some Republicans who want to reduce federal funding for Medicaid have characterized the Medicaid expansion as unjust because the federal government provides a 90% match to states for uninsured adults they characterize as “able bodied,” while it provides a smaller match for younger, older and disabled beneficiaries they characterize as Medicaid’s traditional and more needy populations. The 90% match takes money from the “traditional” populations, they say.
Living in an Undocumented Immigrant Family Under the Second Trump Administration: Fear, Uncertainty, and Impacts on Health and Well-Being

1 month ago | kff.org | Drishti Pillai |Isabelle Valdes |Alisha Rao |Samantha Artiga

During his second term, President Trump has implemented an array of immigration policy changes focused on restricting immigration and increasing interior immigration enforcement efforts.