Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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Federal Policy·September 23, 2026

KFF/AP Survey Finds Health Care Costs Top Issue for Rural Voters Ahead of 2026 Midterms

A new KFF/AP survey examines rural voters' political priorities ahead of the 2026 midterm elections, with health care costs emerging as a major concern alongside cost of living. The survey measures rural voters' views on Trump administration health care policies and identifies top election issues. Rural areas typically have higher Medicaid enrollment rates and face provider shortage challenges that shape state Medicaid policy priorities. Results reflect voter sentiment that may influence state Medicaid expansion debates, LTSS program design, and telehealth policy in rural-focused states.

Why it matters

Rural voter priorities on health care costs and access inform state Medicaid agencies' strategic decisions on expansion, telehealth reimbursement, and rural provider networks in politically competitive states.

Managed Care

Read the full article at kff.org

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