KFF September 3, 2025
Jessica Mathers and Alice Burns

Medicaid, as the primary program providing comprehensive coverage of health care and long-term services and supports to about 80 million low-income people in the United States, accounts for one-fifth of all personal health care spending in the United States and a large share of state budgets. During its 60 years since enactment, Medicaid’s share of health insurance coverage and health care spending have incrementally increased; the program has evolved over time through a series of legislative and judicial actions, within the context of broader changes in the health care landscape. Now, landmark changes to Medicaid coverage and enrollment policies are set to roll out over the next several years.

According to the Congressional Budget Office (CBO), the recently enacted reconciliation...

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