Rakesh Singh

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...

Also available is a more detailed summary of the health provisions of the reconciliation law, which provides background, description, budgetary impact, and related
@kff.org resources on the issues discussed. www.kff.org/medicaid/iss...

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...

www.kff.org/implementati...

View all health provisions in the order they are implemented or filter them by the following categories: Medicaid, Medicare, Affordable Care Act and Health Savings Accounts. You can also search for specific provisions, for example, ones impacting "immigrants" or "rural" areas.

The 2025 budget reconciliation law has quite a few health provisions. A new @kff.org timeline provides a brief overview of the specific provisions and their effective dates.

This policy will discourage lawfully present immigrants who are eligible for Medicaid from signing up, or signing their kids up, leaving them without health insurance. That, of course, is a feature, not a bug.

What Privacy and Protection Standards are in Place for Medicaid Enrollees’ Personal Data?  | KFF This policy watch discusses the data privacy protections in Medicaid and the implications of breaches or violations of those protections.

News reports suggest that the Trump administration has shared confidential data of Medicaid enrollees such as SSNs and race/ethnicity information with ICE for immigration enforcement despite federal and state laws prohibiting this type of data sharing. More from @kff.org www.kff.org/policy-watch...

Trump administration hands over nation's Medicaid enrollee data, including addresses, to ICE U.S. Immigration and Customs Enforcement officials will gain access to personally identifiable information for all of the nation’s 79 million Medicaid enrollees.

BREAKING: ICE officials will gain access to personally identifiable information for all Medicaid enrollees, according to an agreement obtained by the AP.

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...

NEW @kff.org, 988: On its three-year anniversary, 988 continues to grow, exceeding half a million contacts monthly. Suicide deaths held steady from 2022 to 2023—too soon to know 988's impact, but this marks a break from prior upward trends.

See more: www.kff.org/policy-watch...

Watching the 🦄 at work.

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...

KFF graphic featuring a quote from Elizabeth Williams, KFF Senior Policy Manager, Program on Medicaid & Uninsured. It says, “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 Medicaid spending by at least $5 billion more than the House bill would have.”

⚡ KFF’s @liz-williams.bsky.social compares the increases in the federal Medicaid cuts in the Senate-passed reconciliation bill with the House-passed bill across states. #QuickTake on.kff.org/44zOKRr

With RFK Jr. in Charge, Insurers Aren’t Saying If They’ll Cover Vaccines for Kids If Government Stops Recommending Them RFK Jr.’s vaccine advisory board could stop recommending some routine childhood immunizations, leaving insurers to decide whether to still cover them. For now, most are remaining tight-lipped.

Most insurers that did respond said they were keeping an eye on developments in Washington, without indicating whether they would or would not cover vaccines dropped from the recommended schedule.

How Might Federal Medicaid Cuts in the Senate-Passed Reconciliation Bill Affect Rural Areas? | KFF Under the Senate-passed reconciliation bill, federal Medicaid spending in rural areas is estimated to decline by $155 billion, more than in the House-passed bill, and far more than the $50 billion app...

NEW RURAL BRIEF @kff.org : Senate reconciliation bill would cut federal Medicaid funding in rural areas by $155B—$36B more than the House bill. www.kff.org/policy-watch...

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...

What Privacy and Protection Standards are in Place for Medicaid Enrollees’ Personal Data?

In addition to 17M losing coverage, more people could be affected.

Hospitals are one of the largest employers and may need to layoff workers given cuts to Medicaid, etc. Fewer hospital workers could lead to reduced quality of care or access for everyone. www.kff.org/key-facts-ab...

About 17 Million More People Could be Uninsured due to the Big Beautiful Bill and other Policy Changes In total, due to the One Big Beautiful Bill Act and other policy changes, the number of people without health insurance is expected to increase by about 17 million. If all of this comes to pass, it wo...

17 million people estimated to be without health insurance if the current version of the OBBBA under consideration by Senate passes, according to most recent CBO estimates. www.kff.org/quick-take/a... #healthinsurance #access #affordability @cynthiaccox.bsky.social @kff.org

I was horrified when I first learned about this at the Japanese American National Museum in Los Angeles a few years ago.

20 million people are covered under the ACA’s Medicaid expansion. Eliminating the enhanced federal match for expansion coverage would cause many states to pull back, leaving millions uninsured.

The biggest changes to the Medicaid provisions in the Senate budget bill:

An increase in federal payments to Alaska and Hawaii.
A temporary $25 billion rural health fund.
A one year delay in the phase down of provider taxes.

Is that enough to get the votes?

Kennedy v. Braidwood: The Supreme Court Upheld ACA Preventive Services but That’s Not the End of the Story | KFF On June 27, 2025, the U.S. Supreme Court issued its opinion on Kennedy v. Braidwood Management, ruling that the ACA requirement that most private insurers and Medicaid expansion programs to cover…

In a new policy watch, we examine the details of the Supreme Court’s ruling on Kennedy v. Braidwood Management.

With continuing litigation in the lower court, access to ACA preventive services is preserved for now but questions remain.

One of the biggest flashpoints for the "One Big Beautiful Bill Act" has been its impact on roughly 1800 rural hospitals, which is why Senate Republicans are proposing a new $15 billion rural health fund. However, there are still questions and concerns about the bill 👇 (1/7)

How Might the Reconciliation Bill’s Medicaid Cuts Affect Rural Areas? | KFF This analysis estimates that the House-passed reconciliation bill could lead Medicaid spending in rural areas to decrease by $119 billion and a 1.5 million drop in enrollment over 10 years.

NEW @kff.org: House reconciliation bill could reduce Medicaid spending in rural areas by $119B over 10 yrs. Over half of the reductions would be in 12 states with large rural populations and expanded Medicaid: KY, NC, OH, IL, VA, MI, NY, WA, PA, OK, LA and AR. See: www.kff.org/policy-watch...

Google's AI agrees with you.

It’s remarkable how much of the debate about Medicaid cuts is now about hospitals and a rural hospital fund to placate critics and appear to soften the blow, not the millions of people who will lose coverage or find it unaffordable. Some will lose SNAP benefits at the same time.

It’s Indian Mango Season, and the Cutthroat Selling Frenzy Is On

Always a health care angle “Two years ago, he and his partners in the dental company were charged in a federal indictment with Medicaid fraud,” www.nytimes.com/2025/06/23/d...

Picture of health policy timeline wall depicting info about 2022 Dobbs decision and NY Times article.

It has been 3 years since the #SCOTUS Dobbs decision ending the federal constitutional right to abortion. It is the most current entry on @kff.org's health policy timeline wall in our office. For the latest on abortion in the U.S.: www.kff.org/womens-healt...

What Privacy and Protection Standards are in Place for Medicaid Enrollees’ Personal Data?  | KFF This policy watch discusses the data privacy protections in Medicaid and the implications of breaches or violations of those protections.

Federal and state laws protect Medicaid applicant and enrollee data and limit the sharing of personal information.

Sharing it for purposes other than health coverage/care poses risks for individuals and may jeopardize confidence in the security of data.

Senate Finance Language Would Further Cut Federal Spending for Medicaid Expansion States | KFF Prior KFF analysis allocated CBO’s federal Medicaid spending reductions and enrollment losses across the states, and this policy watch builds on that analysis to examine the potential impacts in expan...

#Medicaid provisions that only apply to ACA expansion states account for roughly half ($427 billion) of total federal spending cut in the House-passed reconciliation bill and changes in the Senate Finance language would further cut federal spending for expansion states: www.kff.org/policy-watch...

Over one in four (27%) physicians and surgeons at U.S. hospitals, rising to one in three in FL (37%), CA (33%), NY (33%), and TX (31%), are immigrants. Policies aimed at restricting immigration could negatively impact the health and well-being of Americans.
@kff.org
www.kff.org/racial-equit...