Health Affairs December 16, 2025
Michael C. Wang, Paula Chatterjee

Editor’s Note

This article is part of a Health Affairs Forefront featured topic, Medicaid Financing. The featured topic includes analysis, proposals, and commentary that will inform policies on the state and federal levels to address sustainability, efficiency, and access to care in Medicaid programs. Submissions will be reviewed on a rolling basis until the deadline. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards. We are grateful to Arnold Ventures for supporting this work.

State Medicaid financing and the health care safety net are entering a critical period. Medicaid spending continues to grow as a share of state budgets, while recent policy changes will introduce new administrative and fiscal...

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