Coverage

A Summer of Continuing the Fight: Defending Coverage, Demanding Health Equity

This month marks the 30th anniversary of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996, referred to at the time as “welfare reform.” This misguided and deepl...

Medicare Oral Health Coalition Letter of Support: Medicare Dental Act of 2026

This letter expresses the support of the Medicare Oral Health Coalition — which includes leading organizations representing oral health, health care consumers, older adults, people with disabilities...

Families USA Submits Comments on CMS’ Medicaid Work Reporting Requirements Interim Final Rule

Families USA submitted comments on the Centers for Medicare & Medicaid Services (CMS) Interim Final Rule with Comment Period (IFC) implementing Medicaid work reporting (community engagement) req...

Fighting Back: State Responses to Federal Attacks on Health Care in 2026 and the Advocacy Road Ahead

In 2025, Congress enacted the most damaging Medicaid cuts in history and let enhanced premium tax credits (EPTCs) that made health coverage affordable for 22 million Americans expire. The consequ...

Families USA Submits Comments On Proposed Regulation for Federal Financial Assistance

Families USA submitted comments on the proposed Regulation for Federal Financial Assistance, strongly urging the Office of Management and Budget (OMB) and the Department of Health and Human Services...

Families USA and Leading Civil Rights and Health Care Advocacy Groups Release New Report for More Inclusive Health Care

A national coalition of nine leading civil rights and health care advocacy groups, including Families USA, has released a report, “Seamless, Accountable and Fair: A Civil Rights Agenda for Reconstru...

The Big Budget Bill, One Year Later: Millions Lose Coverage, Millions More Remain at Risk

One year ago, President Trump signed his big budget bill (H.R. 1) that slashed more than $1 trillion in health care to pay for permanent tax cuts to the wealthiest Americans and largest corporations. ...

Dissecting the Deepest Cuts: New Restrictions Limiting Medicaid State Directed Payments

Among the many provisions in the 2025 budget reconciliation law (H.R. 1) that gut Medicaid, one of the most consequential is the imposition of new limits on state directed payments (SDPs), which m...

Despite Deep Federal Cuts, Medicaid Expansion Continues to Benefit States

The sweeping health care cuts enacted by Republicans in the 2025 budget reconciliation legislation (H.R. 1) take direct aim at states that expanded Medicaid coverage to low-income adults aged 19–64 ...

Post‑H.R. 1, the Fiscal Case for Medicaid Expansion in Holdout States Remains Strong

Medicaid expansion under the Affordable Care Act (ACA) strengthens state economies, reduces the number of uninsured residents, lowers the risk of medical debt, stabilizes hospitals and providers, and ...