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Women’s Health Insurance Coverage

This fact sheet provides updated statistics on health coverage and describes the major sources of health insurance for non-elderly adult women ages 18–64, including employer-sponsored or job-based coverage, Medicaid, insurance in the individual market, and Medicare. It also provides data on uninsured women, and summarizes the major implications of the Affordable Care Act (ACA) for women and their health coverage.

The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid

In states that do not implement the Medicaid expansion under the Affordable Care Act (ACA), many adults will fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Nationwide, 2.6 million poor uninsured adults are in this situation. This brief presents estimates of the number of people in non-expansion states who could have been reached by Medicaid but instead fall into the coverage gap, describes who they are, and discusses the implications of them being left out of ACA coverage expansions.

Analysis: Nearly 12 Million People Who Remain Uninsured Are Eligible for Financial Help Under the Affordable Care Act, About Half Through Medicaid and Half Through the Marketplaces

As the Nov. 1 start of the Affordable Care Act’s fourth open enrollment period approaches, a new Kaiser Family Foundation analysis estimates that 11.7 million people who remain without health insurance are eligible for Medicaid in their state or for tax credits to purchase health insurance through their state’s Affordable…

Medicaid and HIV

Medicaid, the largest public health insurance program in the United States, covering health and long-term care services for more than 72 million low-income individuals, has played a critical role in HIV care since the HIV epidemic began. This fact sheet provides an overview of the role of each program for people with HIV, including trends and characteristics of beneficiaries, spending, services and other issues.

50-State Survey Finds Slower Growth in Total Medicaid Spending Nationally in FY 2016 and Projected for FY 2017 as Earlier Increases from the Affordable Care Act’s Coverage Expansions Taper Off

After record increases in fiscal year 2015, growth in Medicaid enrollment and total Medicaid spending nationally slowed substantially in FY 2016 and are projected to continue to slow in FY 2017 as the initial surge of enrollment under the Affordable Care Act’s coverage expansions tapered off, according to the 16th annual 50-state…

Medicaid Enrollment & Spending Growth: FY 2016 & 2017

This report provides an overview of Medicaid enrollment and spending growth with a focus on the most recent state fiscal year, FY 2016, and current state fiscal year, FY 2017. Findings are based on interviews and data provided by state Medicaid directors as part of the 16th annual Medicaid budget survey of Medicaid directors in all 50 states and the District of Columbia conducted by the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates (HMA). Findings examine changes in overall enrollment and spending growth and also look at expansion versus non-expansion states.

50-State Medicaid Budget Survey Archives

This page provides access to the reports stemming from the 50-state Medicaid budget surveys published annually since 2000 by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU). It tracks trends in Medicaid spending and enrollment, as well as Medicaid policy actions around eligibility and enrollment, provider rates, provider taxes/fees, premiums and cost-sharing, benefits and pharmacy, long-term care and delivery system and payment reform.

Health and the 2016 Election: Implications for Women

The leading US presidential candidates and their parties’ platforms offer distinct and often opposing policy proposals on issues that affect women’s health. In the Women’s Health Issues journal, the Kaiser Family Foundation’s Caroline Rosenzweig, Usha Ranji, and Alina Salganicoff present their analysis of the differences between the Democratic and Republican parties on range of women’s health policy issues – including the Affordable Care Act, reproductive health, older women’s health, and violence prevention.

Data Note: Effect of State Decisions on State Risk Scores

To gauge whether individual market risk pools are healthier in states that have expanded Medicaid and did not allow transitional plans, this data note compares average state risk scores using data from the Centers for Medicare & Medicaid Services Summary Report on Risk Adjustment for the 2015 benefit year. The analysis finds that states that expanded Medicaid and did not allow transitional plans had lower average risk scores, suggesting the risk pools in those state’s markets are healthier than in non-expansion states and in states that allowed transitional plans.

The Hyde Amendment and Coverage for Abortion Services

This policy insight examines the Hyde Amendment, an annually approved law that bans the use of federal funds to pay for abortions unless the pregnancy is a result of rape, incest, or endangerment of the life of a woman. The Hyde Amendment has become the focus of debate in the 2016 presidential election. Hillary Clinton is the first presidential candidate to openly support lifting the Hyde bans on federal funding for abortion, while Donald Trump recently endorsed the codification of the law and established a Pro-life coalition. This perspective details the federal programs that are affected by the Hyde Amendment, provides estimates on the share of women insured by Medicaid affected by the law, the impact on their access to abortion services, and the potential effect if the law were to be repealed or codified.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.