
she/her Executive Director @TNJusticeCenter. Opinion’s are mine alone. Trying 2 make the world a better place as a southern, Catholic, lawyer, runner, mom of 3.
- Tweets22.8K
- Following1.6K
- Followers1.4K
- Likes8.7K

ALT Bar chart from KFF titled "Number of States Affected by Key Medicaid Provisions in the 2025 Reconciliation Law". Showing the number of states affected by key Medicaid provisions in the 2025 Reconciliation Law. For eligibility: work requirements affect 44 states, immigrant eligibility restrictions 51 states, lower federal revenues and cost sharing for ACA enrollees 41 states. For financing: effective prohibition on new or increased provider taxes affects 51 states, future reduction in existing provider tax rates 31 states, limits on future state-directed payments 41 states, future reduction in existing state directed payments for hospitals 37 states, and new funding for rural areas 50 states.

ALT Bar chart from KFF titled "Number of States Affected by Key Medicaid Provisions in the 2025 Reconciliation Law". Showing the number of states affected by key Medicaid provisions in the 2025 Reconciliation Law. For eligibility: work requirements affect 44 states, immigrant eligibility restrictions 51 states, lower federal revenues and cost sharing for ACA enrollees 41 states. For financing: effective prohibition on new or increased provider taxes affects 51 states, future reduction in existing provider tax rates 31 states, limits on future state-directed payments 41 states, future reduction in existing state directed payments for hospitals 37 states, and new funding for rural areas 50 states.

ALT Those forces have hit especially hard in areas that were already struggling economically, like West Virginia’s once-flourishing coal mining communities. The spike in gas costs means a 45-minute drive to the nearest grocery store can set residents back more than $15. And West Virginians who must comply with the new work requirements to receive food benefits are confronting a lack of jobs and training programs. Since last summer, about 24,000 people, including 8,000 children, have lost food stamps, according to the West Virginia Department of Human Services.

ALT Map showing U.S. states with the highest share of ACA marketplace enrollments and their 2024 presidential election winner. States are color-coded based on the winner, with percentages indicating population enrolled in ACA marketplaces. Florida has the highest enrollment at 16.4%, followed by Georgia (10.5%), Texas (10.3%), and Utah (9.5%). Data sources include KFF analysis, CMS Health Insurance Exchanges Monthly Effectuated Enrollment, and Census Bureau estimates.

ALT The image contains a quote from Drew Altman, KFF Founding President and CEO. The quote says: “…voters’ concerns about health care costs are having a moment, and will continue to do so through 2028, because voters see them as a dimension of their worries about the cost of living, which is their dominant concern right now.” The KFF logo is visible in the bottom right corner.

ALT Many states, including Louisiana, have placed pressure on applicants to submit more information more often to verify their eligibility to reduce the state’s payment error rate and limit how much the cost of benefits shifts to the state. “It’s been a race to drive down those error rates,” Llobrera said. He said the challenge of implementing new program restrictions and requiring more documentation has increased the burden on applicants and state agencies. The agencies have to process more paperwork on a tight timeline without enough staff. This can increase the likelihood of errors when processing applications, potentially leading to rejection of benefits for more people. It’s also harder for applicants to meet additional verification requirements.
















