State and Local Policies on School Vaccine Requirements: Overview and Current Status

States and local governments, rather than the federal government, have authority over school vaccination requirements, and while all 50 states and DC require certain vaccines for school attendance, they vary substantially in how exemptions are granted and administered. As the Trump administration has moved away from longstanding federal childhood vaccine recommendations, an increasing number of…

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5 Questions and Answers About Medicaid and Provider Taxes

This issue brief uses data from KFF’s  2025-2026 survey of Medicaid directors and from a proposed rule on provider taxes to describe states’ current provider taxes, explore how rules governing provider taxes are changing because of the 2025 reconciliation law and the regulations implementing that law, and summarizes which changes may affect each state.

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