On May 22, House Republicans passed their budget reconciliation omnibus — the so-called “One Big Beautiful Bill Act” — which would cut hundreds of billions of dollars from Medicaid, among other spending cuts, in order to fundhistorictax giveaways to the rich.
Multiple independent analyses show that the final House version of OBBBA, which we used for this research, would result in up to 16 million Americans losing their current health insurance. Many of the losses will be due to losing eligibility for Medicaid coverage — and the Senate version, which passed on July 1, has even more drastic cuts to Medicaid. Also, rural hospitals in many states are at risk of closure due to the cuts, and multiple analyses predict tens of thousands of avoidable deaths annually due to the loss of health coverage from the cuts. Medicaid goes by many different names in different states (like Med-QUEST in Hawaii and KanCare in Kansas), so some recipients may not realize their programs are on the chopping blocks.
Media Matters looked at local news outlets across all 50 states and Washington, D.C., and found reports highlighting the dire consequences of the GOP legislation’s cuts to Medicaid. We’ve collected that reporting here and combined it with details on each state’s Medicaid programs, including the various names by which the programs are known.
State-based media have reported on the cuts to local Medicaid programs, which go by many names
This research uses Medicaid loss estimates from the Joint Economic Committee's Democratic minority staff, which provided projections for each state based on a Congressional Budget Office analysis of the House version of the OBBBA. Medicaid enrollment data are drawn from the Centers for Medicare & Medicaid Services and inclusive of both the core Medicaid program and the Children's Health Insurance Program (CHIP), which is similarly administered by each state alongside Medicaid programs and in accordance with federal requirements set by CMS.
Alabama: Alabama Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 210,000 Alabamians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 42,000 Medicaid recipients. The Alabama Medicaid program currently serves more than 945,000 Medicaid recipients in the state. The House’s budget proposal would strip nearly $3.5 billion from Alabama over the next decade, according to KFF, and health care providers warn that proposed cuts to Medicaid coupled with expiring provisions of the Affordable Care Act will imperil the state’s hospital system. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, five rural hospitals in Alabama may close if it is adopted.
Struggling rural hospitals will be especially susceptible to the changes proposed in President Donald Trump’s megabill that will cut taxes and slash spending, advocates say. Loretta Wilson, CEO of Hill Hospital in rural York, Ala., said any cuts to Medicaid will be difficult for her hospital to overcome.
“The hospitals are not going to survive,” Wilson said during a recent online conversation hosted by U.S. Rep. Terri Sewell, D-Birmingham. “If we are not here, it will be detrimental, not only to the individuals, to the ambulance services, etcetera.”
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“At the end of this year, about 170,000 Alabamians will no longer have health care plans that are subsidized through the marketplace,” [Alabama Hospital Associate deputy director Danne] Howard said. None of those people qualify for Medicaid, Howard said.
“The best guess is the majority of those will not be able to afford or won’t go get another plan in the marketplace,” Howard said. “So we just substantially added additional uninsured individuals who need health care services and uncompensated care provided in our hospitals at a time when we’re already more fragile than ever.”
Alaska: DenaliCare and Denali KidCare
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 37,000 Alaskans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 27,000 Medicaid recipients. The Alaska Medicaid program, often referred to as DenaliCare, and other state-administered Medicaid plans currently serve more than 244,000 Medicaid recipients in the state. The House’s budget proposal would strip up to $3 billion from Alaska over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, five rural hospitals in Alaska may close if it is adopted. Health care advocates warn the budget bill “threatens rural hospitals, limits access to lifesaving care, and strips coverage from the people who need it most.”
Arizona: Arizona Health Care Cost Containment System (AHCCCS)
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 342,000 Arizonans could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 194,000 Medicaid recipients. The AHCCCS (pronounced “access”) program currently serves nearly 1.9 million Medicaid recipients in the state. The House’s budget proposal would strip up to $34 billion from Arizona over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, five rural hospitals in Arizona may close if it is adopted.
According to data compiled by Democrats on Congress ’Joint Economic Committee, over 148,000 Arkansans could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 90,000 Medicaid recipients. The ARHOME program and other state-administered Medicaid plans currently serve over 800,000 Medicaid recipients in the state. The House’s budget proposal would strip up to $11 billion from Arkansas over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, one rural hospital in Arkansas may close if it is adopted. According to the advocacy group Arkansas Advocates for Children & Families, the budget bill “will worsen hunger and strip health care coverage from millions of families — to partially offset trillions in tax cuts.”
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 2.2 million Californians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 1.5 million Medicaid recipients. The Medi-Cal program currently serves nearly 13.4 million Medicaid recipients in the state. The House’s budget proposal would strip up to $159 billion from California over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, 28 rural hospitals in California may close if it is adopted. The Sacramento Bee reported that “tough new work requirements for Medicaid, as well as other restrictions, would make it more difficult for people to get help from the program,” while KABC reported that GOP budget cuts “would reduce access to preventive care, leading to more ER visits and straining already-limited hospital resources,” adding, “Programs supporting children and people with disabilities could also be affected.”
According to data compiled by Democrats on Congress’ Joint Economic Committee, more than 225,000 Coloradans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 126,000 Medicaid recipients. The Health First Colorado program currently serves more than 1.2 million Medicaid recipients in the state. The House’s budget proposal would strip up to $14 billion from Colorado over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, six rural hospitals in Colorado may close if it is adopted. The Denver Post reported that “rural hospitals are particularly vulnerable” to new Medicaid restrictions, and “other types of providers, including community mental health centers and safety net clinics in Colorado, also expect to cut services or close locations.”
According to data compiled by Democrats on Congress’ Joint Economic Committee, more than 173,000 Connecticuters could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 120,000 Medicaid recipients. The HUSKY Health program currently serves more than 928,000 Medicaid recipients in the state. The House’s budget proposal would strip up to $12 billion from Connecticut over the next decade. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, one rural hospital in Connecticut may close if it is adopted. News 12 Connecticut reported that the cuts could leave the state paying “for a much bigger share of HUSKY Medicaid costs.”
From the May 12 edition of News 12 Connecticut:
Delaware: Delaware Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, more than 43,000 Delawareans could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 25,000 Medicaid recipients. The Diamond State Health Plan program and other state-administered Medicaid plans currently serve nearly 248,000 Medicaid recipients in the state. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, one rural hospital in Delaware may close if it is adopted. The House’s budget proposal would strip up to $4 billion from Delaware over the next decade, according to KFF.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 50,000 people in Washington, D.C., will lose their health insurance if the Republican House budget agenda is enacted, including more than 45,000 Medicaid recipients. The DC Medicaid program currently serves over 257,000 Medicaid recipients in the District, and approximately 100,000 people have private health insurance through DC HealthLink. The House’s budget proposal would strip up to $5 billion from D.C. over the next decade, according to KFF.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 1.8 million people in Florida will lose their health insurance if the Republican House budget agenda is enacted, including over 196,000 Medicaid recipients. The Statewide Medicaid Managed Care (SMMC) and other state-administered Medicaid plans currently serve more than 3.7 million Medicaid recipients in the state. The House’s budget proposal would strip up to $20 billion from Florida over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, one rural hospital in Florida may close if it is adopted.
The Senate’s version of Trump’s “Big Beautiful Bill” seeks to implement additional cuts to Medicaid compared to the iteration of the bill that already passed through the House.
Initial estimates suggest that federal spending on Medicaid could be reduced by anywhere between $625 billion and upwards of $800 billion over 10 years. Slashing Medicaid would result in millions of American seniors losing their health care coverage while millions more would see rising premiums, according to experts.
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Recent data published by the AHA shows that rural Americans could have the most to lose if the Senate’s version of the Big Beautiful Bill comes to pass. Around 1.8 million rural Americans could lose Medicaid coverage and the bill could cost rural hospitals an estimated $50.4 billion over 10 years.
An estimated 7,900 Floridians living in rural areas would lose access to health care through Medicaid. Hospitals servicing impacted communities would see an estimated $210 million financial hit over the same period of time.
Georgia: Georgia Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, more than 624,000 Georgians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 93,000 Medicaid recipients. The Georgia Medicaid program currently serves nearly 1.9 million Medicaid recipients in the state. The House’s budget proposal would strip up to $9 billion from Georgia over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, four rural hospitals in Georgia may close if it is adopted. The Atlanta Journal-Constitution has reported that the bill's imposition of new national work requirements on top of existing state-level requirements could cause even more recipients to lose coverage.
Georgia’s Medicaid program already has some work requirements built in for certain populations, but the reconciliation bill could require more people to meet these standards. Critics say these types of provisions usually don’t lead people to find jobs but instead cause them to lose coverage.
The bill also creates new out-of-pocket costs for Medicaid enrollees. Hospitals and health clinics that are not allowed to turn people away even if they can’t afford to pay are likely to see an increase in uncompensated care provided.
Medicaid recipients will be required to resubmit paperwork more frequently to verify their information and income. That is likely to lead to people losing coverage if they fail to meet deadlines or don’t have the required documentation.
Hawaii: Med-QUEST
According to data compiled by Democrats on Congress’ Joint Economic Committee, more than 57,000 Hawaiians could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 49,000 Medicaid recipients. The Med-QUEST program currently serves over 404,000 Medicaid recipients in the state. The House’s budget proposal would strip up to $5 billion from Hawaii over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, six rural hospitals in Hawaii may close if it is adopted. The Hawaii Tribune-Herald reported that the bill would likely hit hospitals and nursing facilities hard.
All of Hawaii’s hospitals would be affected by Medicaid cuts, as all care for Medicaid patients, according to Hilton Raethel, president and CEO of the Healthcare Association of Hawaii.
A reduction in Medicare reimbursements would increase the financial burden for hospitals, many of which are already struggling.
“Our hospitals already operate on very, very narrow margins,” said Raethel. “It’s a very challenging health care environment, and labor costs are going up.”
Additionally, Medicaid covers about 60% of patients at skilled nursing facilities in Hawaii and is the single largest payer for long-term care in the state.
Idaho: Idaho Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 69,000 Idahoans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 27,000 Medicaid recipients. The Idaho Medicaid program currently serves over 318,000 Medicaid recipients in the state. The House’s budget proposal would strip up to $4 billion from Idaho over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, three rural hospitals in Idaho may close if it is adopted. KREM reported that Hillarie Hagen, the senior policy associate for Idaho Supports Medicaid, said work requirements could cause 18,500 people to lose coverage annually and “an estimated 59 Idahoans could die every year due to reduced access to care.”
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 500,000 Illinoisians could lose their health insurance coverage if the Republican House budget agenda is enacted, including roughly 335,000 Medicaid recipients. HealthChoice Illinois and other state-administered Medicaid plans currently serve nearly 3.2 million Medicaid recipients in the state. The House’s budget proposal would strip up to $48 billion from Illinois over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, nine rural hospitals in Illinois may close if it is adopted, and recent reporting from the Chicago Sun-Times highlighted the threat Medicaid cuts pose to nursing homes and long-term care facilities around the state.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 250,000 Hoosiers could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 125,000 Medicaid recipients. The Indiana Medicaid program, which includes the Healthy Indiana Plan (HIP), Hoosier Care Connect, Hoosier Healthwise, and other state-administered Medicaid plans currently serve more than 1.7 million Medicaid recipients in the state. The House’s budget proposal would strip up to $17 billion from Indiana over the next decade, according to KFF. According to health policy researchers at the University of North Carolina who looked at the House version of the bill, 12 rural hospitals in Indiana may close if it is adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 106,000 Iowa residents could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 59,000 Medicaid recipients. The IA Health Link program and other state-administered Medicaid plans currently serve nearly 674,000 Medicaid recipients in the state. The House’s budget proposal would also strip up to $9 billion from Iowa over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in Iowa may close if it’s adopted.
From the June 24 edition of KTIV:
Kansas: KanCare
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 88,000 Kansans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 18,000 Medicaid recipients. The Kansas Medicaid program, KanCare, currently serves nearly 413,000 Medicaid recipients in the state. The House’s budget proposal would strip up to $4 billion from Kansas over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, six rural hospitals in Kansas may close if it’s adopted.
Cuts to Medicaid are “best done with a scalpel and not with a machete,” [Hutchinson Regional Health Center chief executive officer Benjamin] Anderson said during a Tuesday press briefing hosted by the rural health association.
Anderson said he is interested in stewardship of federal funds, but cuts to Medicaid aren’t the right way to do it. Those cuts don’t just threaten the accessibility of the health care system for those on Medicaid but for the entire system, he said.
“Cutting Medicaid actually doesn’t save money because it sends people into the emergency department, where they get the most expensive and inefficient and inappropriate care for their ailment,” he said.
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More than half of rural hospitals in Kansas are at risk of closing, and the report found that Kansas would experience a 15% reduction in total rural Medicaid hospital reimbursement under the proposed bill. Plus, 5,000 rural Kansans enrolled in Medicaid are expected to lose coverage, according to the report.
Kentucky: Kentucky Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 170,000 Kentuckians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 136,000 Medicaid recipients. The kynect program and other state-administered Medicaid plans currently serve more than 1.3 million Medicaid recipients in the state. The House’s budget proposal would strip up to $26 billion from Kentucky over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 35 rural hospitals in Kentucky may close if it’s adopted. The independent Kentucky Center for Economic Policy anticipates their state will be one of those hardest hit by slashing Medicaid, suffering the “fifth largest coverage losses outright” in the country despite being just the 26th largest state by population.
According to data compiled by Democrats on Congress’ Joint Economic Committee, more than 250,000 Louisianians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 147,000 Medicaid recipients. The Louisiana Medicaid program currently serves more than 1.5 million Medicaid recipients in the state. The House’s budget proposal would strip up to $27 billion from Louisiana over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 33 rural hospitals in Louisiana may close if it’s adopted.
On May 26, the Times-Picayune published an op-ed in which Rep. Cleo Field (D-LA) explained the “catastrophic impact” of the Big Beautiful Bill:
This number is profoundly troubling and will have a catastrophic impact on the state of Louisiana, where one out of every three people is currently enrolled in Medicaid. That’s over 1.6 million people. This group includes over half of all the state’s children, two-thirds of mothers giving birth and their newborn babies, and three-quarters of people living in nursing homes.
Maine: MaineCare
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 57,000 Mainers could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 35,000 Medicaid recipients. The MaineCare program currently serves more than 300,000 Medicaid recipients in the state. The budget proposal would strip up to $4 billion from Maine over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in Maine may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 229,000 Marylanders could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 142,000 Medicaid recipients. The Maryland Medical Assistance program currently serves more than 1.4 million Medicaid recipients in the state. The House budget proposal would strip up to $18 billion from Maryland over the next decade, according to KFF.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 305,000 Massachusetts residents could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 168,000 Medicaid recipients. The MassHealth program currently serves more than 1.6 million Medicaid recipients in the state. The House budget proposal would strip up to $22 billion from Massachusetts over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, one rural hospital in Massachusetts may close if it’s adopted.
“This isn’t a scalpel to trim waste — this is a massive ax to our entire health care system,” said Gov. Maura Healey in a statement.
“Costs will go up for everyone,” Healey continued. “We cannot let this happen – we are fighting back.”
The administration stated that the cuts will impact more than just MassHealth and the Connector. They will reduce services at nursing homes, community health centers, and hospitals, or even force some of them to close.
The closures will also put the jobs of doctors, nurses, and healthcare professionals at risk, according to Healey.
Michigan: Michigan Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 424,000 Michiganders could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 237,000 Medicaid recipients. The Healthy Michigan Plan, MIChild plan, and other state-administered Medicaid plans currently serve more than 2.3 million Medicaid recipients in the state. The House budget proposal would strip up to $32 billion from Michigan over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, four rural hospitals in Michigan may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 161,000 Minnesotans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 108,000 Medicaid recipients. The Minnesota Medical Assistance program currently serves more than 1.1 million Medicaid recipients in the state. The House budget proposal would strip up to $19 billion from Minnesota over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in Minnesota may close if it’s adopted.
Medicaid, which covers over 1.2 million Minnesotans—including children, seniors, and people with disabilities—would see new work requirements, more frequent eligibility checks, and changes to provider reimbursement structures.
“The numbers we’re talking about are really frightening,” said Dr. Emily Chapman, Chief Medical Officer for Children’s Minnesota. “For Children’s Minnesota, 50% of the patients we serve depend upon Medicaid for their coverage.”
She expressed concern that the human impact of Medicaid cuts is being overlooked in the policy debate.
Mississippi: Mississippi Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 147,000 Mississippians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 28,000 Medicaid recipients. The Mississippi Medicaid program, which includes Mississippi Coordinated Access Network (MississippiCAN) and other state-administered Medicaid plans currently serve more than 600,000 Medicaid recipients in the state. The House budget proposal would strip up to $4 billion from Mississippi over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, eight rural hospitals in Mississippi may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 250,000 Missourians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 103,000 Medicaid recipients. The MO HealthNet program currently serves more than 1.2 million Medicaid recipients in the state. The House budget proposal would strip up to $15 billion from Missouri over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, four rural hospitals in Missouri may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 52,000 Montanans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 25,000 Medicaid recipients. The Montana Medicaid program, inclusive of Healthy Montana Kids, currently serves more than 210,000 Medicaid recipients in the state. The House budget proposal would strip up to $4 billion from Montana over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, eight rural hospitals in Montana may close if it’s adopted.
No state stands to lose more in Medicaid cuts being discussed in the “Big Beautiful Bill” than Montana, according to several new reports. That translates to nearly 40,000 people losing health insurance, billions taken out of the state’s economy, and a new mountain of paperwork for state workers.
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The Montana Healthcare Foundation, which has tracked the results of Medicaid’s expansion in the Treasure State since its inception, as well as publishing yearly academic research on its effects on the state, reports that no state stands to lose more on a per-capita basis than Montana.
“On a percentage basis, Montana would lose more federal funding than any other state in the country, with an estimated 32% decrease in federal Medicaid funds over the next 10 years,” says a new report issued by the foundation titled “The One Big Beautiful Bill Act: Impacts on Montana Medicaid.”
Nebraska: Nebraska Medical Assistance Program
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 74,000 Nebraskans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 26,000 Medicaid recipients. The Nebraska Medical Assistance Programcurrently serves more than 340,000 Medicaid recipients in the state. The House’s budget proposal would also strip up to $4 billion from Nebraska over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in Nebraska may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 106,000 Nevadans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 67,000 Medicaid recipients. The Nevada Medicaid program currently serves nearly 770,000 Medicaid recipients in the state. The House budget proposal would strip up to $9 billion from Nevada over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in Nevada may close if it’s adopted.
Nevada Medicaid Administrator Stacie Weeks told The Nevada Independent that the division is still reviewing details, but the program estimates that anywhere between 70,400 to 112,600 adult Nevadans enrolled in Medicaid today — between roughly 8 and 14 percent of the state’s Medicaid population — could go uninsured because of new rules that would require people prove they are working or looking for a job to receive coverage.
New Hampshire: NH Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 43,000 New Hampshire residents could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 19,000 Medicaid recipients. The NH Medicaid program currently serves more than 187,000 Medicaid recipients in the state. The budget proposal would strip up to $2 billion from New Hampshire over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, one rural hospital in New Hampshire may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 342,000 New Jersey residents could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 161,000 Medicaid recipients. NJ FamilyCarecurrently serves more than 1.7 million Medicaid recipients in the state. The House’s budget proposal would strip up to $30 billion from the state over the next decade, according to KFF.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 103,000 New Mexicans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 79,000 Medicaid recipients. The Turquoise Care program and other state-administered Medicaid plans currently serve more than 682,000 Medicaid recipients in the state. The House budget proposal would strip up to $11 billion from New Mexico over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 15 rural hospitals in New Mexico may close if it’s adopted.
From the May 29 edition of KRQE News 13:
New York: New York State Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 935,000 New Yorkers could lose their health insurance coverage if the Republican budget agenda is enacted, including more than 858,000 Medicaid recipients. The New York State Medicaid program currently serves more than 6.5 million Medicaid recipients in the state. The budget proposal would strip up to $102 billion from the state over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 11 rural hospitals in New York may close if it’s adopted.
From CBS 6 Albany’s May 19 coverage:
North Carolina: NC Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 614,000 North Carolinians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 271,000 Medicaid recipients. The NC Medicaid program currently serves more than 2.8 million Medicaid recipients in the state. The House budget proposal would strip up to $29 billion from North Carolina over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, five rural hospitals in North Carolina may close if it’s adopted.
From WBTV News’ June 24 coverage:
North Dakota: North Dakota Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 23,000 North Dakotans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 8,000 Medicaid recipients. The North Dakota Medicaid program currently serves more than 106,000 people in the state. The House budget proposal would strip up to $2 billion from North Dakota over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, three rural hospitals in North Dakota may close if it’s adopted.
On Thursday, the U.S. House of Representatives passed the “One Big Beautiful Bill Act,” which includes sweeping cuts to Medicaid. For many in North Dakota, these cuts aren’t abstract figures. They mean losing access to critical services that make daily life possible, like bathing, commuting to work, or attending community programs, robbing them of their place within the community.
This threat to Medicaid is more than a fiscal issue. It’s a rollback of decades of hard-won progress. In 1980, six North Dakota families partnered with The Arc to challenge the inhumane conditions at Grafton State School and San Haven State Hospital. That lawsuit led to the closure of San Haven, reduced the population at Grafton, and shifted our state toward more humane, community-based care. Now, that legacy is in danger of being erased.
Ohio: Ohio Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 458,000 Ohioans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 253,000 Medicaid recipients. Ohio Medicaid program, which includes MyCare Ohio and other state administered Medicaid programs, currently serves more than 2.8 million Medicaid recipients in the state. The House budget proposal would strip up to $39 billion from Ohio over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 11 rural hospitals in Ohio may close if it’s adopted.
From WSYX ABC 6’s May 23 coverage:
Oklahoma: SoonerCare
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 200,000 Oklahomans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 91,000 Medicaid recipients. The SoonerCare program currently serves more than 993,000 Medicaid recipients in the state. The House budget proposal would strip up to $13 billion from Oklahoma over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 21 rural hospitals in Oklahoma may close if it’s adopted.
State lawmakers will have to make tough decisions about Medicaid if President Donald Trump's "big beautiful bill" becomes law, including whether to cut health care coverage for low-income and disabled Oklahomans, cut reimbursements to doctors or find other ways to pay for the program known as SoonerCare.
The bill would usher in a massive shift in federal policies and programs under Trump, outline exactly how taxpayer funds should be spent and increase the nation's debt limit by $4 trillion.
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Several cuts in the "big beautiful bill" appear to target states like Oklahoma that have chosen to expand Medicaid coverage. Oklahoma voters expanded Medicaid with a constitutional amendment in 2020, increasing the pool of people eligible for SoonerCare support.
Oregon: Oregon Health Plan
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 183,000 Oregonians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 134,000 Medicaid recipients. The Oregon Health Plan program currently serves more than 1.3 million Medicaid recipients in the state. The House budget proposal would strip up to $23 billion from Oregon over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, four rural hospitals in Oregon may close if it’s adopted. Other estimates project that Oregonians would be much harder hit by proposed Medicaid cuts, which could affect up to 23% of enrollees.
If Republicans in the U.S. Senate pass the “One Big Beautiful Bill Act,” Oregonians currently enrolled in Medicaid are more likely than people in nearly any other state to lose coverage and end up uninsured, according to analyses from several national think tanks.
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In Oregon, 20% of people currently enrolled in Medicaid could lose their coverage, according to a detailed estimate of the bill’s impact by the State Health and Value Strategies Program at Princeton University. That would be the most significant percent loss of any state, according to the think tank’s state-by-state analysis.
Oregon is particularly vulnerable because it has focused for decades on expanding its Medicaid program, simplifying eligibility checks and making it easier for people to enroll and stay enrolled.
Pennsylvania: Pennsylvania Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 451,000 Pennsylvanians could lose their health insurance coverage if the Republican House budget agenda is enacted, including over 277,000 Medicaid recipients. The Pennsylvania Medicaid program currently serves more than 3 million Medicaid recipients in the state. The House budget proposal would strip up to $44 billion from Pennsylvania over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, five rural hospitals in Pennsylvania may close if it’s adopted.
Four federally supported health centers in Pittsburgh would be at risk of reducing services or closing if the budget reconciliation bill being debated by Congress becomes law, officials said Tuesday at a news briefing in the city’s Lincoln-Lemington neighborhood.
The East Liberty Family Health Care Center sees 10,000 patients a year at its four clinics and more than 30% are patients with Medicaid health insurance, the state-federal program for low-income people of any age, CEO Arsenial Runion said. The Medicaid cuts in the budget reconciliation bill in the U.S. Senate could create a public health crisis.
“Our work here and the people we serve are under threat,” Mr. Runion said. “We we truly under attack right now.
“This isn’t just a policy issue; it’s a public health emergency.”
Rhode Island: Rhode Island Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 44,000 Rhode Island residents could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 30,000 Medicaid recipients. RIte Care and other state-administered Medicaid plans currently serve more than 300,000 Medicaid recipients in the state, according to KFF estimates. The House budget proposal would strip up to $4 billion from Rhode Island over the next decade, according to KFF.
It’s unclear which, if any, of the proposed cuts to Medicaid that [Democratic Rhode Island Rep. Seth] Magaziner has outlined will be approved by House Republicans. But among the ideas being circulated, he said, is cutting people from the Medicaid rolls added during the expansion of the Affordable Care Act. Rhode Island was among the first states to expand its Medicaid rolls, in 2014. Many of the newly insured during the expansion were working single adults who did not have employer coverage.
Any significant cuts to Medicaid also are expected to have a ripple effect throughout the healthcare system, which depends on the funds to reimburse health clinics, nursing homes and hospitals, among others. Health centers, already strained by a national provider shortage and a rise in patients since the pandemic, could be forced to cut staff and services – or shut down altogether.
South Carolina: Healthy Connections
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 273,000 South Carolinians could lose their health insurance coverage if the Republican House budget agenda is enacted, including over 51,000 Medicaid recipients. The Healthy Connections program currently serves more than 1 million Medicaid recipients in the state. The House budget proposal would strip up to $5 billion from South Carolina over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, five rural hospitals in South Carolina may close if it’s adopted.
Medicaid is administered by each state. Though Medicaid does provide quality health insurance to many, currently in South Carolina only certain groups of very low-income people are able to enroll in the program.
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The state of South Carolina receives a very generous match rate from the federal government, with 69.5% of our program paid for basic adult services and 78.7% for children. This program, Healthy Connections, covers more than 635,000 children, 60% of all births in our state, and more than 63% of our seniors in nursing homes.
South Dakota: South Dakota Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 31,000 South Dakotans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 12,000 Medicaid recipients. The South Dakota Medicaid program currently serves more than 144,000 Medicaid recipients in the state. The House budget proposal would strip up to $1 billion from the state over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in South Dakota may close if it’s adopted. The Argus Leader noted that South Dakota rural residents, children, and seniors in nursing homes would be hit particularly hard by the cuts.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 295,000 Tennesseeans could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 70,000 Medicaid recipients. The TennCare program currently serves more than 1.4 million Medicaid recipients in the state. The House budget proposal would strip up to $8 billion from Tennessee over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, nine rural hospitals in Tennessee may close if it’s adopted.
One in five Tennesseans rely on Medicaid (TennCare) for healthcare and for protection from medical bankruptcy. That includes half of the state’s children, nearly two-thirds of the state’s nursing home residents, and half of pregnant mothers.
TennCare is the principal source of funding for rural healthcare, including drug and mental health treatment and prevention.
“We need to keep reminding lawmakers what these programs do for not just us, but what they do for the success of all Americans. Before these programs get cut, the time to remind lawmakers is right now,” said Jeff Strand, director of public policy for the Tennessee Disability Coalition.
Texas: Texas Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 1.6 million Texans could lose their health insurance coverage if the Republican House budget agenda is enacted, including nearly 210,000 Medicaid recipients. The Texas Medicaid program, including the Star+Plus senior plan, currently serves more than 4.1 million Medicaid recipients in the state. The House budget proposal would strip up to $35 billion from Texas over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 15 rural hospitals in Texas may close if it’s adopted.
From May 15 coverage on NBC 5 Dallas-Fort Worth:
Utah: Utah Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 180,000 Utahans could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 32,000 Medicaid recipients. The Utah Medicaid program currently serves more than 336,000 Medicaid recipients in the state. The House budget proposal would strip up to $6 billion from Utah over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, three rural hospitals in Utah may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 32,000 Vermonters could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 21,000 Medicaid recipients. The Green Mountain Care program, including the Dr. Dynasaur plan for children and pregnant people, currently serves more than 158,000 Medicaid recipients in the state. The House budget proposal would strip up to $2 billion from Vermont over the next decade, according to KFF.
In Vermont, Medicaid and Dr. Dynasaur provide health coverage to nearly 1 in 4 residents, including low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid also supports around 37%of all births in Vermont, highlighting its critical role in maternal and child health. It ensures access to prenatal care, labor and delivery services, postpartum follow-up, and behavioral health care — especially in rural areas where access is already limited. It also helps keep our hospitals and clinics open, especially in smaller towns where every dollar matters.
The United States still has the highest maternal mortality rate of any high-income country, and nearly 80% of those deaths are considered preventable. Instead of seeing our patients in the emergency room during a crisis, we want to care for them early and consistently — before complications arise. Cutting Medicaid would reverse hard-won progress and put more women and newborns at risk.
Virginia: Cardinal Care
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 302,000 Virginians could lose their health insurance coverage if the Republican budget agenda is enacted, including more than 166,000 Medicaid recipients. The Cardinal Care program currently serves nearly 1.8 million Medicaid recipients in the state. The budget proposal would strip up to $29 billion from Virginia over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, six rural hospitals in Virginia may close if it’s adopted.
In Virginia, experts say most people would likely lose Medicaid access by failing to comply with new administrative regulations on enrolling in and maintaining coverage. Virginia Medicaid, called Cardinal Care, and Children’s Health Insurance Program, or CHIP, together cover nearly 1 in 4 Virginians. Here are some of the potential impacts the bill could have for Virginians.
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One of the measures in the House proposal is to implement a work requirement on people who qualify for Medicaid through expansion — that’s adults under age 65 who make about $21,000 or less annually.
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Virginia has a trigger law that would end Medicaid expansion in the state if the federal contribution to the program dips below 90%. Thus far, nothing in the federal proposal appears to reduce federal contributions in a way that would trigger it.
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The proposal also freezes the rate of provider taxes, one of the primary mechanisms by which states finance their share of Medicaid costs.
Washington: Apple Health
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 306,000 Washingtonians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 198,000 Medicaid recipients. The Apple Health program currently serves more than 1.8 million Medicaid recipients in the state. The House budget proposal would strip up to $45 billion from Washington over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, 14 rural hospitals in Washington may close if it’s adopted.
Even if you or your family never uses Apple Health, these changes will affect you.
When people lose Medicaid coverage, they still need health care. People without health insurance often postpone treatment until their conditions become too serious to ignore, and are then forced to seek care in emergency rooms at significantly higher costs.
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Washington hospitals have faced closures and layoffs due to financial strain, notably in rural parts of the state. Further reductions in Medicaid reimbursement would make this much worse, causing more facilities to shut down. And when your hospital or clinic closes, it doesn’t matter what insurance you have — you’ll need to get your care somewhere else.
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One in 10 Washingtonians are employed in the health care workforce. Closure of hospitals and clinics means substantial job losses, hurting local economies and exacerbating unemployment. The ripple effects reach local businesses, housing markets and community stability, impacting every Washingtonian, regardless of reliance on Medicaid. These proposed cuts threaten the integrity of health care services throughout our state, and rural communities in Central and Eastern Washington, where access to care is already in jeopardy, would be disproportionately affected.
West Virginia: West Virginia Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 76,000 West Virginians could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 52,000 Medicaid recipients. The West Virginia Medicaid program currently serves more than 508,000 Medicaid recipients in the state. The House budget proposal would strip up to $7 billion from West Virginia over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, seven rural hospitals in West Virginia may close if it’s adopted.
According to data compiled by Democrats on Congress’ Joint Economic Committee, over 258,000 Wisconsinites could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 148,000 Medicaid recipients. The BadgerCare Plus program and other state-administered Medicaid plans currently serve more than 1.1 million Medicaid recipients in the state. The House budget proposal would strip up to $6 billion from Wisconsin over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, three rural hospitals in Wisconsin may close if it’s adopted.
From a May 22 article in the Milwaukee Journal Sentinel:
Republicans in Congress are pursuing major cuts to Medicaid that could cause tens of thousands of Wisconsin's poorest residents to lose BadgerCare Plus coverage.
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The largest Medicaid program in Wisconsin is BadgerCare Plus, which covers nearly 900,000 people, about half of them children. Most adults on BadgerCare Plus make less than the poverty level, or $15,650 for an individual.
BadgerCare Plus also covers people during pregnancy and the postpartum period who have incomes less than three times the poverty level.
The program covers things like checkups, immunizations, prenatal care, and other doctor visits. In addition, the program covers hospital care, prescription drugs, rehabilitation services, lab visits and X-rays, and vision care, like glasses.
Other Medicaid programs include Family Care and IRIS, which cover long-term care — including adult day care and personal care workers — for people with disabilities and frail seniors. Those programs help people who may struggle with getting out of bed, dressing, feeding themselves or showering live as independently as possible in their own homes and communities.
Wyoming: Wyoming Medicaid
According to data compiled by Democrats on Congress’ Joint Economic Committee, nearly 20,000 Wyomingites could lose their health insurance coverage if the Republican House budget agenda is enacted, including more than 3,000 Medicaid recipients. The Wyoming Medicaid and Kid Care CHIP program currently serves more than 62,000 Medicaid recipients in the state. The budget proposal would strip up to $281 million from Wyoming over the next decade, according to KFF. According to health policy researchers at the University of North Carolina, who looked at the House version of the bill, two rural hospitals in Wyoming may close if it’s adopted.
