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Pa. Election 2026: Where Governor Candidates Garrity and Shapiro Stand on Medicaid, Fraud, and More

Shapiro opposes the changes as likely to force more eligible Pennsylvanians off coverage, while Garrity says they will curb fraud and waste.

  • Federal Medicaid changes rolling out next year have created a sharp contrast in the race between Democratic Gov. Josh Shapiro and Treasurer Stacy Garrity, who offer competing visions for managing the program covering nearly 2.9 million Pennsylvanians.
  • President Donald Trump's 2025 federal budget law, termed the 'One Big Beautiful Bill' by the White House, includes more than $1 trillion in federal healthcare cuts and mandates new work requirements with eligibility checks every six months.
  • Shapiro has challenged the new federal requirements in court, arguing that narrow exceptions 'force medically frail individuals' to face unnecessary hurdles, while his administration prevented nearly $179 million in improper payments since taking office.
  • Garrity embraces the federal changes, promising to implement the law's 'anti-fraud protections' and demand independent performance audits. Campaign spokesperson Matt Beynon stated these measures would 'protect taxpayers while preserving Medicaid' for vulnerable populations.
  • Pennsylvania's recent state budget funded nearly 400 positions at County Assistance Offices to support increased workload from federal mandates, as the administration estimates more than 310,000 people could lose coverage due to 'bureaucratic hurdles.
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  • 70% of the sources are Center
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Pittsburgh Post-Gazette broke the news in Pittsburgh, United States on Saturday, August 29, 2026.
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