The State Perspective

With the signing of the Congressional budget bill a couple weeks ago, federal Medicaid spending could be cut by $1 trillion with an estimated increase in the number of uninsured people by 11.8 million (see the OPEN MINDS Market Intelligence Report, The 2025 Federal Budget Reconciliation Bill (H.R.1 – One Big Beautiful Bill Act): Implications For The Health & Human Service Field, and Allocating CBO’s Estimates Of Federal Medicaid Spending Reductions Across The States: Enacted Reconciliation Package).

The effects of the legislation and state policy changes in response to the budget bill will vary from state to . . .