A May 2026 UC Berkeley Labor Center/UCLA Center for Health Policy Research brief uses CalSIM v3.62, DHCS administrative data, and evidence from other states to model coverage under federal and California policy decisions made in 2025.
Coverage is already falling before work requirements start: Michigan Medicaid has lost more than 80,000 people since January, and Texas's application backlog grew to more than 210,000 in August. Plan changes add to it: Healthy Blue leaves Louisiana Medicaid on December 31, moving more than 290,000 members on January 1. Comments on CMS's provider-tax implementation rule closed September 21 with no extension; the final rule is next. (as of )
Government · Illinois Department of Healthcare and Family Services
A May 2026 UC Berkeley Labor Center/UCLA Center for Health Policy Research brief uses CalSIM v3.62, DHCS administrative data, and evidence from other states to model coverage under federal and California policy decisions made in 2025.
The official S.3141 history shows the Senate passed its primary-care package June 18, the House adopted an amended version published as H.5630 on July 30, the Senate did not concur, and both chambers appointed a conference committee July 31.
The federal docket for Peninsula Institute for Community Health, Inc. Et al. V. Virginia Department of Medical Assistance Services et al., case 3:25-cv-01044 in the Eastern District of Virginia, lists a December 19, 2025 filing and 15 named FQHC plaintiffs.
The Ohio Legislative Service Commission's enacted H.B. 96 Medicaid analysis says the FY2026–2027 budget continues prior home- and community-based-services waiver rate increases affecting providers who serve more than 140,000 Medicaid recipients.
Enrollees and physician groups filed a second challenge, Taylor v. Kennedy, on September 18, aimed at the rule's medical-frailty provisions. CMS told states on September 8 to check frailty against claims, encounter and health information exchange data first. The federal rule is in effect and every state must apply it no later than January 1, 2027. A federal court denied preliminary relief in Massachusetts v. Oz without deciding the merits. Montana begins removals for noncompliance on October 1, and Kentucky's three-of-six-month lookback is already running. (as of )
Government · Massachusetts Executive Office of Health and Human Services
MassHealth's August 11 statewide campaign says members are receiving direct notices, texts, emails, calls, webinars, and outreach through community organizations before work requirements and six-month eligibility checks begin January 1, 2027.
Pennsylvania approved an average 15.97% increase for 2027 individual plans. The enhanced premium credits have expired and states are now approving 2027 rates: Washington approved an average 22.2% increase and Connecticut 11.3% for individual plans. In New York, nearly 192,000 of the roughly 450,000 people who lost expanded Essential Plan coverage had not enrolled in new coverage by July 31. (as of )
Ohio's ACA Marketplace enrollment dropped more than 32% between February 2025 and February 2026 after enhanced federal premium subsidies expired in January 2026.
Twenty-one states, Pennsylvania's governor and D.C. sued on September 14 to stop the new public charge rule. A separate federal change narrows which lawfully present immigrants qualify for Medicaid on October 1; Indiana, North Carolina and Michigan have each published how it will apply. The court has set an initial conference for October 9, and the rule remains in effect. In New Jersey, as many as 25,000 noncitizens could lose coverage on October 1. (as of )
On August 4, 2026, Rep. Pramila Jayapal, joined by State Senator Manka Dhingra, DSHS Secretary Angela Ramirez, the Washington State Hospital Association…
California votes November 3. The official voter guide for Proposition 44 names nonprofit FQHCs and authorizes criminal charges; more than 100 health centers have joined the No campaign. South Dakota's ballot carries Amendment I, which puts a funding condition on its Medicaid expansion. In Georgia, the Republican nominee for governor pledges Medicaid expansion that keeps work requirements. (as of )
Georgia Public Broadcasting's August 6 report from the Georgia Chamber event says Democratic nominee Keisha Lance Bottoms made Medicaid expansion a cornerstone of her affordability agenda.
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