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NEW 50-State Medicaid Expenditure Impacts of Senate Budget Reconciliation Language
Under the Medicaid provisions in the Senate version of One Big Beautiful Bill Act, provider tax and state-directed payment cuts would hit states hard, deepening funding and coverage losses, and impacting hospitals nationwide.
Perplexing Politics, Same Plotline
It’s hard not to get caught up in the perplexing politics of the Senate’s June 16 budget reconciliation move, but the plotline remains the same: Under the Medicaid provisions of the One Big Beautiful Bill Act, all states — red states included — are either big losers or bigger losers.
Medicaid Cuts Will Worsen the Overdose Epidemic
Medicaid covers nearly 20% of the population in states like Kentucky and West Virginia heavily affected by overdoses. Proposed Medicaid funding cuts in the One Big Beautiful Bill Act are driven by expected coverage losses, and enrollees with SUD will find their coverage, recovery and lives at risk as a result.
We Interrupt This Program for a Marketplace Alert: Reenrollment Rollback Risks Significant Coverage Loss
The Congressional Budget Office (CBO) estimates that the One Big Beautiful Bill Act proposal to increase Marketplace verification steps and ends the reenrollment process used by nearly 11 million people will reduce coverage by only 700,000 people. In today’s 80 Million, we assess CBO’s numbers and explain why they understate the bill’s high impact on coverage loss.
Medicaid Work Requirements: Dismantling Medicaid Expansion by Design
On May 22, House Republicans passed the “One Big Beautiful Bill Act,” conceding to Freedom Caucus demands by accelerating the start date for Medicaid work requirements and locking in stricter rules — riddling an already unworkable policy with even more red tape, widely expected to result in unprecedented Medicaid coverage terminations.
The House One Big Beautiful Bill Act: Re-running the National and 50-State Impacts
The national and state Medicaid impacts of the House Budget Bill will result in deep coverage and funding losses in most states and could result in nearly $1 trillion in state and federal funding being stripped from the Medicaid program nationally by 2034.
