Administration Releases Additional Details of Fiscal Year 2026 Budget Request

On May 30, 2025, the administration released additional details of its Fiscal Year 2026 budget request, including more specific information on funding for global health activities at the State Department, U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH). The proposed budget includes significant…More

Read More

Federal Vaccine Advisory Committees: Roles and Current Issues

This brief describes four key federal vaccine advisory committees and discusses policy issues and questions they currently face. The four committees are the Vaccines and Related Biological Products Advisory Committee (VRBPAC) at the Food and Drug Administration (FDA); the Advisory Committee on Immunization Practices (ACIP) at the Centers for Disease Control and Prevention (CDC); the…

Read More

June 11 Virtual Event: How the Trump Administration and Congress Are Reshaping the Affordable Care Act’s Marketplaces: Views from the States

Through regulations and the House budget reconciliation bill, significant changes are being considered by Congress and the Trump Administration for how the Affordable Care Act’s health insurance Marketplaces would work. At the same time, the enhanced tax credits that have made Marketplace coverage more affordable and driven record enrollment are set to expire at the…More

Read More

Explaining Cost-Sharing Reductions and Silver Loading in ACA Marketplaces

The House of Representatives recently passed a budget reconciliation bill that would appropriate funding for cost-sharing reductions that insurers are required to provide to low-income enrollees in the Affordable Care Act marketplace. This brief explains what these cost-sharing reductions are, how they relate to federal spending, and what effect appropriating funding might have on premiums…

Read More

Allocating CBO’s Estimates of Federal Medicaid Spending Reductions and Enrollment Loss Across the States

The Congressional Budget Office’s (CBO) latest cost estimate shows that the One Big Beautiful Bill would reduce federal Medicaid spending by $723 billion, with an estimated Medicaid enrollment loss of 10.3 million people in 2034. Building on prior KFF analysis, this analysis allocates these estimated federal spending reductions and enrollment losses across the states.

Read More