U.S. Medicaid and ACA Coverage Face Significant Policy Changes by 2025

The U.S. health insurance landscape is facing critical shifts as enhanced Affordable Care Act (ACA) subsidies are set to expire in 2025, potentially reducing coverage affordability for lower-income Americans. Concurrently, Medicaid programs nationwide are expected to experience budget cuts and stricter enrollment rules, including new work requirements and more frequent eligibility reviews, which could lead to coverage losses. Additionally, upcoming changes to Medicaid reimbursement policies and the introduction of rural health grants may have widespread implications across the country. Former state healthcare leaders from Florida and Massachusetts recently discussed how state agencies and healthcare providers might adapt to these evolving regulatory and policy challenges, highlighting the potential impact on public health access and delivery systems.