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State Medicaid Budgets Will Decline by $665 Billion Under New Federal Law, Report Finds
The One Big Beautiful Bill Act cuts federal Medicaid funding, leading to 7.6 million fewer enrollees and $665 billion in state budget reductions by 2034, RAND Health projects.
- Late last month, RAND Health projected Medicaid budgets will decline by $665 billion over the next decade after analyzing state and federal data.
- New federal rules and financing limits restrict provider taxes and add work requirements, reducing enrollment and cutting federal Medicaid payments to states.
- Federal savings of $714 billion from 2025–2034 accompany 7.6 million fewer Medicaid enrollees by 2034, the RAND analysis projects.
- California and New York face the biggest budget hits, losing $112 billion and $63 billion respectively, while Arizona, Iowa and Nevada will see Medicaid cuts exceeding 15%.
- Overall, state budgets outside Medicaid will shrink by $86 billion, as some states spend more while others save from enrollment changes, with Tennessee, Mississippi, Oklahoma, and Kentucky seeing over 2% general-fund savings.
12 Articles
12 Articles
State Medicaid budgets will decline by $665 billion under new federal law, report finds - Garden City Telegram
BY ANNA CLAIRE VOLLERSStateline State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance program, according to a new analysis. Researchers from RAND Health, a policy and research nonprofit, analyzed state and federal data to estimate how much the loss of federal money will affect state Medicaid budgets, publish…
State Medicaid budgets will decline by $665 billion under new federal law, report finds - Dodge City Daily Globe
BY ANNA CLAIRE VOLLERSStateline State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance program, according to a new analysis. Researchers from RAND Health, a policy and research nonprofit, analyzed state and federal data to estimate how much the loss of federal money will affect state Medicaid budgets, publish…
Report: State Medicaid budgets will decline by $665 billion under new federal law - The Iola Register
State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance program, according to a new analysis. State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance program, according to a…
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