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vaccine safety and trust

Recent Changes to State Vaccine Requirements for School Children

This policy watch examines state-by-state school vaccine requirements and exemptions, including recent policy changes to them and the extent to which they may affect vaccination rates.

Routine Vaccination Rates for Kindergarten Children Continue to Decline Across States

Kindergarten Routine Vaccination Rates Continue to Decline

Federal Vaccine Advisory Committees: Roles and Current Issues

This brief describes four key federal vaccine advisory committees and discusses policy issues and questions they currently face.

Drew Altman, KFF President and CEP is quoted on this card saying, "People are bewildered by a supercharged and polarized debate about vaccines and no longer know where to turn for scientific information they can rely on ... The vaccines are not the culprit—we and the state of our politics and the distrust in science and our scientific institutions they breed are."

From Drew Altman: The Problem Isn’t Trust in Vaccines, It’s That People Don’t Know Who to Trust

How Does the Federal Government Monitor Vaccine Safety?

The brief reviews the history of federal vaccine safety systems and describes the key systems and their strengths and limitations.

AFFORDABLE CARE ACT

How Much More Will People Pay if the ACA’s Enhanced Tax Credits Expire in 2026?

This calculator estimates how much out-of-pocket premiums would increase for families if Congress does not extend the credits.

How Much and Why ACA Marketplace Premiums Are Going Up in 2026

About Half of Adults with ACA Marketplace Coverage are Small Business Owners, Employees, or Self-Employed

This analysis estimates that 48% of adults under age 65 with individual market coverage are either employed by a small business with fewer than 25 workers, self-employed entrepreneurs, or small business owners. Because the vast majority of this coverage is purchased through the Affordable Care Act Marketplaces, changes to the ACA, including the expiration of the enhanced premium tax credits at the end of this year, would have significant implications for what small business owners and workers spend on their health care.

Tariffs Are Driving up Premiums for Small Businesses

From Drew Altman: Explaining the Muddle on ACA Tax Credits

ACA Provisions in the 2025 Federal Budget Reconciliation Law

2025 budget reconciliation law

How the Law Will Affect the Uninsured Rate: State by State Analysis

This analysis apportions the increase in the number of uninsured across the 50 states and DC. CBO estimates that the reconciliation law will increase the number of uninsured by 10M in 2034 and rise to over 14M if enhanced premium tax credits for ACA Marketplace enrollees expire later this year.