Robin Rudowitz

Health Provisions in the 2025 Federal Budget Reconciliation Law | KFF On July 4, President Trump signed the budget reconciliation bill, previously known as the “One Big Beautiful Bill Act,” into law. This summary provides background, description, budgetary impact and re...

@kff.org also posted a detailed summary of the new law: www.kff.org/medicaid/iss...

Sorting Out Covid Vaccine Confusion: New and Conflicting Federal Policies Raise Questions - KFF Health News Should you get vaccinated? Will your insurer pay for it? And will you still be able to find a vaccine? KFF Health News tries to sort out where things stand.

If you want a covid shot this fall, you may have to pay for it. Check with your employer or insurer before rolling up your sleeve. kffhealthnews.org/news/article...

Implementation Dates for 2025 Budget Reconciliation Law | KFF This searchable timeline shows the implementation date for the health care provisions included in the 2025 federal budget reconciliation law. previously known as "One Big Beautiful Bill Act." It inclu...

Trying to keep track of when all of the provisions in the final reconciliation package go into effect - we have you covered - check out new @kff.org timeline: www.kff.org/implementati...

As the job market stalls, remember that a major piece of the Republican tax and spending law that just passed is a work requirement for Medicaid enrollees.

Medicaid 101 | KFF This Health Policy 101 chapter explores Medicaid, the primary U.S. program providing comprehensive coverage of health care and long-term services and supports to nearly 90 million low-income people. O...

As the 60th anniversary of #Medicaid approaches - be sure to check out the Medicaid chapter in Health Policy 101 - particularly how the program has evolved over time. www.kff.org/health-polic...

Two-thirds (65%) of #Medicaid enrollees say the tax and budget bill will hurt them and their families, while just under one in ten (18%) believe it will help.https://www.kff.org/medicaid/poll-finding/kff-health-tracking-poll-public-views-on-recent-tax-and-budget-legislation/

Among #Medicaid enrollees under age 65 – a group that is most likely to be impacted by the health provisions of the reconciliation law, 7 in 10 (69%) view the bill unfavorably. www.kff.org/medicaid/pol...

Over half of the #Medicaid spending reductions in rural areas are among 12 states that have large rural populations and have expanded Medicaid under the ACA, 10 of which could see rural federal Medicaid spending decline by $5 billion or more over 10 years. www.kff.org/policy-watch...

How Might Federal Medicaid Cuts in the Enacted Reconciliation Package Affect Rural Areas? | KFF Under the reconciliation package, federal Medicaid spending in rural areas is estimated to decline by $137 billion, more than the $50 billion appropriated for the rural health fund.

Under the reconciliation package, federal Medicaid spending in rural areas is estimated to decline by $137 billion, more than the $50 billion appropriated for the rural health fund. www.kff.org/policy-watch...

Mandating that adults who are eligible for Medicaid through the ACA expansion meet work and reporting requirements account for the largest share of #Medicaid reductions ($326 billion) and 76% of the reductions occur in 2030-2034.

Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Enacted Reconciliation Package | KFF This analysis allocates the CBO’s estimated reduction in federal spending in the enacted reconciliation package across states based on KFF’s state-level data and where possible, prior modeling work; a...

@kff.org updated our state estimates of the final reconciliation package based on CBO's national estimates - the new law is expected to reduce federal #Medicaid spending by $911 billion ($990 billion without interactions). www.kff.org/medicaid/iss...

9 states have waivers that allow for multi-year continuous #Medicaid eligibility for children. New CMS guidance says no new such waivers will be approved and current waivers are time-limited. www.kff.org/report-secti...

Demand for 988 Continues to Grow at Third Anniversary | KFF This policy watch examines 988 on its third anniversary, drawing from the latest Lifeline data available through May 2025 and suicide death data from CDC WONDER for the period 2013 to 2023. 988 receiv...

988 contacts continue to grow; however, significant legislative changes to Medicaid are expected to result in less coverage and funding with implications for access to broader mental health services. www.kff.org/policy-watch...

A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law | KFF The new reconciliation law includes a $50 billion rural health fund. This brief describes the rural health fund, explains what the law says about the allocation of funds, and highlights outstanding qu...

The new Rural Health Fund is fund is temporary, covers about 1/3 of the estimated loss of federal #Medicaid funding in rural areas and there is a lot of uncertainty about how the funds will be distributed - check out new brief: www.kff.org/medicaid/iss...

The Republican megabill has many parts and was never framed for the public as a health care bill. But, it is the biggest cutback in federal support for health coverage ever.

GOP Governors Mum as Congress Prepares To Slash Medicaid Spending for Their States - KFF Health News In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, ...

Nineteen states poised to sustain major Medicaid reductions are led by Republican governors. Their silence on the bill’s biggest cuts is giving cover to GOP lawmakers as they seek to slash Medicaid coverage.
kffhealthnews.org/news/article...

The Senate reconciliation bill would cut federal #Medicaid spending by over $200 billion more than the House bill though the increases vary by state.

In 14 states, the Senate bill would reduce federal Medicaid spending by at least $5 billion more than the House bill.

www.kff.org/quick-take/s...

Senate Reconciliation Bill Would Reduce Federal Medicaid Spending by Over $200 Billion More Than the House Bill All states and the District of Columbia will lose more federal Medicaid funding under the Senate-passed bill than under the House-passed bill. In 14 states, the Senate bill would reduce federal Medica...

New: Here’s how much bigger the Medicaid cuts are, by state, in the Senate bill vs. the House.
@liz-williams.bsky.social
www.kff.org/quick-take/s...

Cost Sharing Requirements Could Have Implications for Medicaid Expansion Enrollees With Higher Health Care Needs | KFF This brief uses 2021 Medicaid claims data to examine utilization among Medicaid expansion adults and estimate how much cost sharing these enrollees could be required to pay under the new requirement…

The “One Big Beautiful Bill” would require states to impose cost-sharing of up to $35 per service for some Medicaid enrollees enrolled through the ACA Medicaid expansion with incomes between 100% and 138% of the federal poverty level.

Get the details:

Chart from KFF showing CBO’s estimated 10-year federal spending cuts by policy in the Senate Reconciliation Bill, focusing on total Medicaid cuts of $1 trillion. The tree map chart splits categories by ACA Expansion (work requirements, provider taxes, eligibility redeterminations, other) and all states (eligibility rule changes, limits on state-directed payments, other, and provider taxes).

The Senate-passed reconciliation bill would cut federal Medicaid spending by $1 trillion, per CBO.

The cuts would represent 15% of federal spending on Medicaid over 10 years — over $200 billion more than the cuts in the House-passed bill. on.kff.org/3ZWnUBp

Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF KFF is tracking the Medicaid provisions in the 2025 federal budget bill, including new Medicaid work and verification requirements and a reduction in the expansion match rate for states that use their...

#ICYMI: Our summary now compares health care provisions of the reconciliation bill passed by the Senate on July 1 and the House on May 22 with current law in four areas: Medicaid, the Affordable Care Act, Medicare and HSAs.

See the details:

There's a lot of focus on what Medicaid and ACA cuts would mean for hospitals, because hospitals have lobbyists. That doesn't negate what the cuts would mean for people, with about 12 million people projected to become uninsured due to the megabill.

See updated analysis from @kff.org of #Medicaid cuts in the Senate passed reconciliation bill. The cuts are bigger than the House-passed bill and much larger than the funding for the rural health fund added to help address the impact on rural areas.

See updated @kff.org analysis of state-by-state implications of #Medicaid cuts in the Senate-passed reconciliation bill.

Opinion | We’ve Never Seen Health Care Cuts This Big

Republicans are poised to pass the biggest cuts in health coverage ever.

@nytopinion.nytimes.com
www.nytimes.com/2025/07/01/o...

Senate passed billion reduces federal #Medicaid spending by $1 trillion over 10 years and will have major implications for millions of people who rely on Medicaid coverage, states and providers.

5 Key Facts About Medicaid and Veterans | KFF Medicaid helps fill gaps in coverage for veterans who are low-income, have disabilities, or are otherwise ineligible for military health benefits. It supports those with complex health needs and reduc...

Over the past decade, the number of veterans has declined, but the percent of veterans with #Medicaid has increased - now about 1 in 10 veterans has #Medicaid coverage and 3 of 4 veterans are age 50+. www.kff.org/medicaid/iss...

Here is a collection of recent analyses about the reconciliation bill - including lots of #Medicaid resources. connect.kff.org/kffs-one-big...

Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF KFF is tracking the Medicaid provisions in the 2025 federal budget bill, including new Medicaid work and verification requirements and a reduction in the expansion match rate for states that use their...

While things continue to evolve - @kff.org posted an update to our summary of the Senate reconciliation bill - check it out here: www.kff.org/tracking-the...

Byrd Bath Violations Continue to Roll in on Republicans’ “One Big, Beautiful Bill” | U.S. Senate Committee On The Budget The Official U.S. Senate Committee On The Budget

The parliamentarian has ruled that increased federal Medicaid payments for Alaska and Hawaii violate the Byrd rule. Also increased Medicare rates for outpatient hospitals in those states.
www.budget.senate.gov/ranking-memb...