KFF

@kff.org

The independent source for health policy research, polling, and news.

New KFF analysis finds that ACA Marketplace insurers are proposing a median premium increase of about 15% in 2027. This would be the second consecutive year of double-digit premium hikes. https://on.kff.org/4h9Ou3p

Orange quick fact graphic from KFF with white text. It says, “ACA Marketplaces insurers are proposing a median premium increase of 15% in 2027, according to an analysis of 276 insurers with publicly available filings across all 50 states and the District of Columbia.” Above the text, there is an emphasis on “15%” with bolded text.

#ICYMI: We’re taking a short summer podcast pause. ☀️ KFF’s The Business of Health with Chip Kahn will return in September with more conversations featuring the leaders building and managing AI tools in health care. Catch up on past episodes: https://on.kff.org/4yTG8U3

The Business of Health Archives

This weekly podcast features insightful conversations between host Chip Kahn and his guests, who discuss the business of health care, connecting the dots between the health care business, policy, and ...

on.kff.org

KFF polling data on immigrants' experiences provides insight into how the projected health coverage losses under the 2025 reconciliation law may affect health and health care for immigrant families as more lawfully present immigrants become uninsured: https://on.kff.org/4wwsDrA

The KFF bar chart shows that of the total surveyed, only 21% lawfully present immigrants are uninsured and 46% who are likely undocumented immigrants are uninsured.

Work requirements will make it harder for SSI applicants to maintain Medicaid coverage due to the verification process for the medical frailty exclusion. More on the SSI application process, Medicaid work requirements and the frailty exclusion here: https://on.kff.org/44XuMAE

What Could Medicaid Work Requirements Mean for SSI Applicants? | KFF

Medicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion....

on.kff.org

The latest KFF Tracking Poll reveals that awareness of the safety and prevalence of mifepristone — one of two drugs commonly used together in medication abortion — remains limited. More ➡️ https://on.kff.org/3Ttv9Ar

Stacked bar chart showing share of adults who believe abortion bills are very safe, somewhat safe, somewhat unsafe, very unsafe, or are unsure of the correct answer. Results shown by total, women of reproductive age, and party.

Uninsured immigrant adults are twice as likely as their insured counterparts to skip or postpone health care (50% v. 25%). More about their experiences as federal laws & policies are likely to lead to more lawfully present immigrants becoming uninsured: https://on.kff.org/4wwsDrA

The KFF bar chart shows that 9% of insured immigrants skipped or postponed care and their health got worse compared to 18% of uninsured immigrants who postponed care and health got worse.

Our latest poll finds partisans differ on the motivation behind the FDA’s re-review of mifepristone. Most Republicans say it’s mostly to protect the health and safety of women and most Democrats say it’s to make abortion pills more difficult to access. https://on.kff.org/3Ttv9Ar

Split bar chart showing share of adults who believe RFK Jr.'s call for an FDA review of mifepristone is to protect the health and safety of women versus make it more difficult to access abortion pills. Results shown by total, women of reproductive age, and party.

🎙️ The Business of Health with Chip Kahn is taking a short summer break and will return in September with more conversations featuring the leaders building and managing AI tools in health care. In the meantime, catch up on episodes you may have missed: https://on.kff.org/4yTG8U3

The Business of Health Archives

This weekly podcast features insightful conversations between host Chip Kahn and his guests, who discuss the business of health care, connecting the dots between the health care business, policy, and ...

on.kff.org

Amid an ongoing FDA re-review of mifepristone’s safety, our latest tracking poll finds that slightly more than half of the public have little to no confidence in the FDA's ability to make science-based decisions about the drug’s safety. https://on.kff.org/3Ttv9Ar

Bar chart by KFF titled "A Slim Majority of Adults Has Little to No Confidence in the FDA to Make Science-Based Decisions About Mifepristone." It shows survey results on confidence levels in the FDA's decision-making regarding mifepristone. Five groups are represented: Total, women ages 18-49, Democrats, Independents, and Republicans. Categories of confidence levels include: "A lot," "Some," "A little," and "None." The chart highlights varied confidence levels by demographic and party. Data is from KFF Health Tracking Poll, June 25-30, 2026.

The current U.S. Ebola response differs from past outbreaks in key ways, including a lack of coordination with WHO and more restrictive domestic border policies, though the initial pace and scope is similar. Our side-by-side analysis has the details: https://on.kff.org/4bOekGx

Comparing U.S. Ebola Outbreak Response Capabilities and Practices Over Time | KFF

This brief compares the U.S. response to the current Ebola outbreak in DRC with U.S. responses to prior Ebola outbreaks across a variety of characteristics. It finds the US is on par or even faster wi...

on.kff.org

State-based ACA Marketplaces that run their own enrollment platforms, including those that partially offset the expired federal subsidies, generally saw lower drops in ACA enrollment: an average 6% decline versus 15% for states that use the HealthCare.gov platform. https://on.kff.org/4pJb30Q

A hexmap illustrating the change in ACA Marketplace effectuated enrollment by state from February 2025 to 2026. Colors indicate enrollment changes: dark blue for a decrease of 25% to 35%, blue for 15% to 25% decrease, light blue for 5% to 15% decrease, gray for stable enrollment (-5% to +5%), light green for 5% to 15% increase, and green shows no states experienced over 15% increase. The majority of states show a decrease, with only New Mexico showing an increase.

Donor government funding for HIV has dropped by $2.1B in 2025 due to declines in disbursements from the U.S. — marking the largest annual decrease since the scale-up for HIV response began. https://on.kff.org/44ZkuzV

Purple quick fact graphic from KFF with white text. It says, “$2.1 billion Donor government funding to combat HIV in low- and middle-income countries fell by $2.1 billion in 2025, a 25% decrease from the previous year.”

The 2025 reconciliation law eliminated the financial incentives that encouraged states to expand Medicaid — making it less likely the “coverage gap” will close anytime soon. Get the latest data on how many uninsured are in the coverage gap: https://on.kff.org/3Rki2Rr

Diagram shows the coverage gap in states that did not expand Medicaid. The coverage gap exists because some states did not expand Medicaid under the ACA to cover adults under age 65 without dependent children with incomes at/below 138% of the federal poverty level (FPL)

How does the Trump administration's Ebola response compare to past outbreaks? Our new analysis finds the initial funding and speed are similar to past outbreaks, but a lack of coordination with WHO and other changes leave many unknowns: https://on.kff.org/4bOekGx

Comparing U.S. Ebola Outbreak Response Capabilities and Practices Over Time | KFF

This brief compares the U.S. response to the current Ebola outbreak in DRC with U.S. responses to prior Ebola outbreaks across a variety of characteristics. It finds the US is on par or even faster wi...

on.kff.org

Pandemic preparedness: 4 in 10 adults say the nation is less prepared now than when the COVID-19 pandemic hit in 2020 – up from 1 in 4 who said so in January 2025 as the second Trump administration began. Our poll also finds sharp partisan differences: https://on.kff.org/4vOOKZ5

The KFF bar chart shows by the categories which are based on political party ID and the total overall percentages of who believes the U.S. is, more prepared, just as prepared or less prepared for a widespread health crisis.

ACA Marketplace enrollment fell this year in every state except New Mexico, which was the only state to fully replace the enhanced premium tax credits that expired last year with a state-funded subsidy. More data and details in our new analysis: https://on.kff.org/4pJb30Q

A hexmap illustrating the change in ACA Marketplace effectuated enrollment by state from February 2025 to 2026. Colors indicate enrollment changes: dark blue for a decrease of 25% to 35%, blue for 15% to 25% decrease, light blue for 5% to 15% decrease, gray for stable enrollment (-5% to +5%), light green for 5% to 15% increase, and green shows no states experienced over 15% increase. The majority of states show a decrease, with only New Mexico showing an increase.

Donor government funding to combat HIV in low- and middle-income countries dropped by $2.1 billion in 2025, a 25% decrease from 2024, due to U.S. funding reductions. Despite this decline, the U.S. remains the largest donor to HIV in the world: https://on.kff.org/4bdvNYN

Bar chart showing HIV funding from donor governments from 2002 to 2025 in billions of US dollars. The funding increases steadily from $1.2 billion in 2002 to a peak of $8.6 billion in 2014, then remains roughly steady until 2025, where it drops to $6.2 billion. The chart includes data from UNAIDS, KFF, Global Fund, and others.

If all remaining states adopted Medicaid expansion, approximately 2.4 million uninsured adults would become eligible for Medicaid, including the 1.2 million people in the “coverage gap.” More on these individuals here: https://on.kff.org/3Rki2Rr

Diagram shows the coverage gap in states that did not expand Medicaid. The coverage gap exists because some states did not expand Medicaid under the ACA to cover adults under age 65 without dependent children with incomes at/below 138% of the federal poverty level (FPL)

Donor government funding for HIV dropped by $2.1 billion in 2025 due to changes made by the US last year, marking the largest annual decrease since scale-up for the HIV response began. KFF experts examine the numbers: https://on.kff.org/4bdvNYN

Bar chart showing HIV funding from donor governments from 2002 to 2025 in billions of US dollars. The funding increases steadily from $1.2 billion in 2002 to a peak of $8.6 billion in 2014, then remains roughly steady until 2025, where it drops to $6.2 billion. The chart includes data from UNAIDS, KFF, Global Fund, and others.

An estimated 1.2 million uninsured adults fall into the Medicaid coverage gap — earning too much for Medicaid but too little to be eligible for ACA subsidies — in the 10 states that haven't expanded Medicaid. Get the latest data: https://on.kff.org/3Rki2Rr

Diagram shows the coverage gap in states that did not expand Medicaid. The coverage gap exists because some states did not expand Medicaid under the ACA to cover adults under age 65 without dependent children with incomes at/below 138% of the federal poverty level (FPL)

Donor government funding to combat HIV in low- and middle-income countries fell by $2.1 billion in 2025, a 25% decrease from 2024, according to our new report with the Joint United Nations Programme on HIV/AIDS (UNAIDS). https://on.kff.org/4bdvNYN

Bar chart showing HIV funding from donor governments from 2002 to 2025 in billions of US dollars. The funding increases steadily from $1.2 billion in 2002 to a peak of $8.6 billion in 2014, then remains roughly steady until 2025, where it drops to $6.2 billion. The chart includes data from UNAIDS, KFF, Global Fund, and others.

The U.S. spends more on health care than other high-income nations, and our costs keep climbing. It’s not a new issue. Why and how did care get so expensive? For more about health care spending, watch the first video in our new series, How Unaffordable is Health Care? 🔗: on.kff.org/4bbhqUT

Most states must notify potentially affected Medicaid enrollees about new work requirements in September—but the timeline is tight and the rules are complex. Our new brief looks at what federal law requires and how states are planning their outreach: https://on.kff.org/4pGiDJZ

A chart describes various outreach strategies states use to inform individuals about Medicaid work requirements. There are four categories: Direct Enrollee Communication; Enrollee-Facing Websites and Screening Tools; Broad Outreach; and Provider, Plan and Community-Based Organizations Outreach. The chart is provided by KFF.