State Medicaid Officials Project Flat Enrollment Post Unwinding but Increased Spending and Budget Pressures, as States Prepare for Impact of Federal Medicaid Policy Changes

As states completed the “unwinding” of pandemic-era continuous coverage, Medicaid enrollment fell 7.6% in FY 2025 and is expected to be largely flat in FY 2026, according to KFF’s 25th annual Medicaid Budget Survey. At the same time, total Medicaid spending grew by 8.6% in FY 2025 and is expected to grow by 7.

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Questions for the America First Global Health Strategy

Authored by KFF’s Jen Kates and Boston University’s Debbie Stenoien and Allyala Nandakumar as well as independent consultant Michael Ruffner, this post for ThinkGlobalHealth identifies and examines several key issues and questions that lie ahead for the America First Global Health Strategy — the first roadmap for what comes next for the President’s Emergency Plan…

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