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Policy & Regulation

Reports

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ASPE Issue Brief

Integrating Services to Strengthen Children, Youth, and Families and Prevent Involvement in the Child Welfare System

The Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services has been working with researchers, human services agency leaders, and persons with lived experience to visualize, describe, and document models of primary prevention within human services.
ASPE Issue Brief

Medical Product Shortages in the United States: Demographic and Geographic Factors and Impacts

Medical product shortages are an ongoing public health concern, with at least 140 products in shortage as of July 2024.We use the Household Pulse Survey to examine how many adults are affected by shortages of critical medical products in the United States.In fall 2023, shortages of medical products impacted about 38.8 million (18 percent) of individuals in the United Stat
Fact Sheet

State Fact Sheets: Impacts of the IRA and ACA on Lowering Health Care Costs, 2024

These Fact Sheets highlight health care cost savings achieved under the Inflation Reduction Act (IRA) and the Affordable Care Act (ACA) for each of the fifty states and the District of Columbia. Enrollee savings on Medicare Part D out-of-pocket costs, insulin, vaccines, and Marketplace premiums are presented.
ASPE Data Point

Nurse Staffing Estimates in US Nursing Homes, May 2024

In April 2024, CMS issued the Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting final rule which established new minimum nurse staffing requirements for nursing homes by nurse type.
ASPE Issue Brief

Medicaid Home and Community-Based Services Section 1915(c) Waiver Policy Flexibilities During the COVID-19 Public Health Emergency: State Agency, Provider, and Consumer Experiences Issue Brief

States may use Appendix K to modify their existing Medicaid home and community-based services (HCBS) 1915(c) waiver programs during emergency situations. During the COVID-19 public health emergency, states used Appendix K to make temporary changes to access and eligibility, payment, services, and other aspects of their waiver programs.
Report

FY 2024 HHS Capacity Assessment Check In

The FY2024 Capacity Assessment Check In is part of the Department of Health and Human Services’ (HHS) multi-year approach for addressing the primary capacity building needs identified through the initial FY2023-2026 HHS Capacity Assessment.
ASPE Issue Brief

Health Insurance Coverage and Access to Care among American Indians and Alaska Natives: Recent Trends and Key Challenges

The uninsured rate among non-elderly American Indians and Alaska Natives (AI/ANs) decreased from 32.4 percent in 2010 to 19.9 percent in 2022 – however, the AI/AN population continues to have the highest uninsured rate compared to other racial and ethnic populations.
ASPE Issue Brief

Health Insurance Coverage and Access to Care Among Asian Americans, Native Hawaiians, and Pacific Islanders: Recent Trends and Key Challenges

Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) experienced larger relative gains in health insurance coverage than any other racial or ethnic group in the United States since the Affordable Care Act was enacted in 2010.
ASPE Issue Brief

Health Insurance Coverage and Access to Care Among Latino Americans: Recent Trends and Key Challenges

The uninsured rate for nonelderly Latinos decreased from 32.7 percent to 18.0 percent, from 2010 to 2022, however, Latinos are more than twice as likely to be uninsured as non-Latino Whites.
ASPE Issue Brief

Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024

Recent legislative and administrative policy initiatives have built on the Affordable Care Act’s (ACA) expansion of health insurance coverage and improvements in access to and utilization of health care services.