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A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes

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Summary
This annual Medicaid budget survey report - A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes - highlights certain policies in place in state Medicaid programs in state fiscal year (FY) 2025 and policy changes implemented or planned for FY 2026. The findings are drawn from the 25th annual budget survey of Medicaid officials conducted by KFF and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD).

The survey was sent to states in June 2025 and 48 states responded by October 2025, although response rates for specific questions varied. The report addresses key take-aways in areas including: provider rates and taxes, benefits, managed care, prescription drugs, and future outlook.
Article Author
KFF