Coverage

Dissecting the Deepest Cuts: New Restrictions on Raising Revenue for State Medicaid Budgets

The 2025 budget reconciliation law (H.R. 1) imposes major new restrictions on states’ ability to generate revenue to support state Medicaid programs by limiting the amount states are able to rai...

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 ...

Hospital Prices are Crushing Americans: It’s Time for Bipartisan Bold Action to Lower Costs

When Families USA and the right-leaning Paragon Institute agree on something, Congress should take notice. Both organizations — with very little else in common — have released major reports this y...

Inside the Work Reporting Requirement Implementation Guidance: How CMS’s New Rule Decimates Health Care Access for Millions

The Centers for Medicare & Medicaid Services (CMS) released its much-anticipated interim final rule with comment period (IFC) on June 1, 2026, providing guidance to states as to how they must im...

Advocates Were Right to Sound the Alarm: Congress Cut Over $1 Trillion from Health Care — And States Are Already Paying the Price

When Congress debated and ultimately passed H.R. 1 last year, health advocates warned the results would be deadly. Cutting $1 trillion from the health care system — with the majority of it coming fr...