Coverage

Families USA Submits Comments On Proposed Regulation for Federal Financial Assistance

Families USA submitted comments on the proposed Regulation for Federal Financial Assistance, strongly urging the Office of Management and Budget (OMB) and the Department of Health and Human Services...

The Big Budget Bill, One Year Later: Millions Lose Coverage, Millions More Remain at Risk

One year ago, President Trump signed his big budget bill (H.R. 1) that slashed more than $1 trillion in health care to pay for permanent tax cuts to the wealthiest Americans and largest corporations. ...

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...

Big Systems, Bigger Profits: Consumers Are Paying the Price of Corporate Hospital Power

Today Families USA published a new data analysis, "Big Systems, Bigger Profits: Consumers are Paying the Price of Corporate Hospital Power,” that found that just a small number of large corporate he...

Dissecting the Deepest Cuts: New Restrictions Limiting Access to Medicaid Retroactive Coverage

The 2025 budget reconciliation law (H.R. 1) imposes major new federal restrictions on retroactive coverage, a critical aspect of Medicaid coverage that protects people from financial hardship whil...