How Medicaid Cuts Affect Your State

The proposed billions of dollars of cuts to healthcare that Congress is proposing threaten the coverage of millions of people who are currently covered by Medicaid and the ACA,  besides healthcare providers, healthcare workers, and access to services.  See how the cuts impact your state.

Impact of the Big Beautiful Bill on Medicaid and the ACA  

New York

Medicaid in New York

  • Medicaid provides health coverage for 16.6 million children, adults, pregnant mothers, veterans, seniors and people with disabilities.

  • NY spent about 38% of its total budget on Medicaid costs in 2023.

  • NY received $62.4 billion in federal reimbursements, which is about 64% of total program costs, in 2023.

Impact of Federal Medicaid Cuts on New York

  • The number of uninsured is projected to reach 920,000 people over the next decade, due to the cuts to Medicaid and the expiration this year of the ACA Enhanced Tax Credits.

  • NY would face an annual cut of $7.5 billion – and it could be much bigger depending on the specific policy.

  • The state would need to make up for this loss in different ways: reducing enrollment, limiting services, cutting rates to providers, or moving money from other programs 

  • Home- and community-based services could face cuts because they are optional services that the state is not required to cover. They allow seniors and people disabilities to remain at home.

  • While nursing home services are mandatory, states could reduce access by raising eligibility requirements and cutting provider rates which would affect access to care.

  • Work requirements put Medicaid recipients at risk. The vast majority already work and those who do not are seniors, people with disabilities, caregivers, school-goers, etc.  Work-reporting red tape will cause many to lose their coverage.

  • The state may also cut rates for hospitals, nursing homes, home care workers, and other providers – causing financial strain and possible job cuts among the state’s 1.3 million health workers.

  • Other major state budget programs such as education and childcare may face cuts to compensate for the loss of federal funding to healthcare.

New Jersey

Medicaid in New Jersey

  • Medicaid provides health coverage for 1.7 million children, adults, pregnant mothers, veterans, seniors and people with disabilities.

  • NJ spent about 25% of its total budget on Medicaid costs in 2023.

  • NJ received $14.5 billion in federal reimbursements, which is about 64% of total program costs, in 2023.

     

Impact of Federal Medicaid Cuts on New Jersey

  • The number of uninsured is projected to reach 410,000 people over the next decade, due to the cuts to Medicaid and the expiration this year of the ACA Enhanced Tax Credits.

  • NJ would face an annual cut of $1.7 billion – and it could be much bigger depending on the specific policy.

  • The state would need to make up for this loss in different ways: reducing enrollment, limiting services, cutting rates to providers, or moving money from other programs 

  • Home- and community-based services could face cuts because they are optional services that the state is not required to cover. They allow seniors and people disabilities to remain at home.

  • While nursing home services are mandatory, states could reduce access by raising eligibility requirements and cutting provider rates which would affect access to care.

  • Work requirements put Medicaid recipients at risk. The vast majority already work and those who do not are seniors, people with disabilities, caregivers, school-goers, etc.  Work-reporting red tape will cause many to lose their coverage.

  • The state may also cut rates for hospitals, nursing homes, home care workers, and other providers – causing financial strain and possible job cuts among the state’s 437,900 health workers.

  • Other major state budget programs such as education and childcare may face cuts to compensate for the loss of federal funding to healthcare.

Massachusetts

Medicaid in Massachusetts

  • Medicaid provides health coverage for 1.6 million children, adults, pregnant mothers, veterans, seniors and people with disabilities.

  • MA spent about 30% of its total budget on Medicaid costs in 2023.

  • MA received $14.2 billion in federal reimbursements, which is about 61% of total program costs, in 2023.

 

Impact of Federal Medicaid Cuts on Massachusetts

  • The number of uninsured is projected to reach 240,000 people over the next decade, due to the cuts to Medicaid and the expiration this year of the ACA Enhanced Tax Credits

  • MA would face an annual cut of $1.7 billion – and it could be much bigger depending on the specific policy.

  • The state would need to make up for this loss in different ways: reducing enrollment, limiting services, cutting rates to providers, or moving money from other programs 

  • Home- and community-based services could face cuts because they are optional services that the state is not required to cover. They allow seniors and people disabilities to remain at home.

  • While nursing home services are mandatory, states could reduce access by raising eligibility requirements and cutting provider rates which would affect access to care.

  • Work requirements put Medicaid recipients at risk. The vast majority already work and those who do not are seniors, people with disabilities, caregivers, school-goers, etc.  Work-reporting red tape will cause many to lose their coverage.

  • The state may also cut rates for hospitals, nursing homes, home care workers, and other providers – causing financial strain and possible job cuts among the state’s 441,000 health workers.

  • Other major state budget programs such as education and childcare may face cuts to compensate for the loss of federal funding to healthcare

Maryland

Medicaid in Maryland

  • Medicaid provides health coverage for 1.5 million children, adults, pregnant mothers, veterans, seniors and people with disabilities.

  • MD spent about 21% of its total budget on Medicaid costs in 2023.

  • MD received $10.8 billion in federal reimbursements, which is about 64% of total program costs, in 2023.

 

Impact of Federal Medicaid Cuts on Maryland

  • The number of uninsured is projected to reach 190,000 people over the next decade, due to the cuts to Medicaid and the expiration this year of the ACA Enhanced Tax Credits.

  • MD would face an annual cut of $1.3 billion – and it could be much bigger depending on the specific policy.

  • The state would need to make up for this loss in different ways: reducing enrollment, limiting services, cutting rates to providers, or moving money from other programs 

  • Home- and community-based services could face cuts because they are optional services that the state is not required to cover. They allow seniors and people disabilities to remain at home.

  • While nursing home services are mandatory, states could reduce access by raising eligibility requirements and cutting provider rates which would affect access to care.

  • Work requirements put Medicaid recipients at risk. The vast majority already work and those who do not are seniors, people with disabilities, caregivers, school-goers, etc.  Work-reporting red tape will cause many to lose their coverage.

  • The state may also cut rates for hospitals, nursing homes, home care workers, and other providers – causing financial strain and possible job cuts among the state’s 259,700 health workers.

  • Other major state budget programs such as education and childcare may face cuts to compensate for the loss of federal funding to healthcare

Florida

Medicaid in Florida

  • Medicaid provides health coverage for 3.8 million children, adults, pregnant mothers, veterans, seniors and people with disabilities.

  • Florida spent about 31% of its total budget on Medicaid costs in 2023.

  • Florida received $22.6 billion in federal reimbursements, which is about 65% of total program costs, in 2023.

 

Impact of Federal Medicaid Cuts on Florida

  • The number of uninsured is projected to reach 2.3 million people over the next decade, due to the cuts to Medicaid and the expiration this year of the ACA Enhanced Tax Credits

  • Florida would face an annual cut of $2.7 billion – and it could be much bigger depending on the specific policy.

  • The state would need to make up for this loss in different ways: reducing enrollment, limiting services, cutting rates to providers, or moving money from other programs 

  • Home- and community-based services could face cuts because they are optional services that the state is not required to cover. They allow seniors and people disabilities to remain at home.

  • While nursing home services are mandatory, states could reduce access by raising eligibility requirements and cutting provider rates which would affect access to care

  • Work requirements put Medicaid recipients at risk. The vast majority already work, and those who do not are seniors, people with disabilities, caregivers, school-goers, etc.  Work-reporting red tape will cause many to lose their coverage.

  • The state may also cut rates for hospitals, nursing homes, home care workers, and other providers – causing financial strain and possible job cuts among the state’s 935,600 health workers.

  • Other major state budget programs such as education and childcare may face cuts to compensate for the loss of federal funding to healthcare