Featured Posts
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Medicaid Work Reporting Requirements: Feds Forcing States to Spend Resources to Cover Fewer People
As discussed in our overview of H.R. 1, the budget reconciliation bill passed by Congress and signed by President Trump, the new law includes a harmful new work reporting requirement for Medicaid. The Congressional Budget Office estimates this work reporting requirement will result in a $326 billion cut in federal funding for states and lead…
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New Resource on State-by-State Impacts of Budget Reconciliation Law
On July 4, 2025, President Trump signed the Congressionally-passed budget reconciliation law, known as “One Big Beautiful Bill,” into law. As we have talked about extensively, this law will drastically cut federal funding for Medicaid and hamstring states’ ability to fund their portion of the federal-state partnership. Many of the law’s provisions target Medicaid expansion…
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Medicaid Managed Care: The Big Five in Q2 2025
Q2 2025, which ended on June 30, is not just another quarter. That’s because on July 4 the Budget Reconciliation Law (P.L. 119-21) was signed into law. That law makes major cuts to Medicaid, reducing federal payments to states by $990 billion over the next ten years and leaving 7.5 million Americans uninsured in 2034.…
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New CBO Health Coverage Estimates of Budget Reconciliation Law
On August 11, 2025, the Congressional Budget Office (CBO) issued more detailed estimates of the impact of the budget reconciliation law (H.R. 1 or P.L. 119-21) on health coverage. Consistent with final cost estimates issued in July, CBO finds that the reconciliation law will increase the number of uninsured people by 10 million in 2034, relative…
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What to Expect From States When They’re Expecting Big Changes Due to HR 1
The passage of the recently enacted tax and budget law (HR1) will have major implications for state budgets, but the impact will be disproportionate. For example, Medicaid, expansion states (plus Wisconsin and Georgia) will be required to implement work requirements, increasing administrative costs while putting up barriers to enrollment and retention. Other states will be…