Latest
-
Many Unanswered Questions: Will the Trump Administration’s Drug Pricing Deals Result in Any Cost Savings for State Medicaid Programs?
Over the last month, the White House has widely touted pricing agreements from two drug manufacturers — Pfizer and AstraZeneca — which it claims will result in substantial prescription drug cost savings for state Medicaid programs. According to the White House, under these agreements, the manufacturers will provide “Most Favored Nation (MFN)” prices, based on…
-
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…
-
Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained
Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with On July 4, 2025, President Trump signed the Congressional Republican budget reconciliation bill into law (H.R. 1 or P.L. 119-21 which was previously entitled the…
-
Congressional Budget Office Confirms Senate Republican Reconciliation Bill’s Medicaid Cuts Are More Draconian than the House-Passed Bill
In the late evening of Saturday, June 28th, the Congressional Budget Office (CBO) issued preliminary estimates of the current version of the Senate Republican budget reconciliation bill now being debated on the Senate floor. The CBO estimates confirm that the Senate Republican reconciliation bill as it now stands would cut Medicaid to an even harsher…
-
Senate Finance Committee Reconciliation Bill Would More Harshly Restrict State Use of Provider Taxes by Targeting Expansion State Financing
On June 16, the Senate Finance Committee unveiled preliminary bill language for its section of the Senate Republican budget reconciliation bill. Senate Republican leaders could have chosen to moderate the draconian cuts to Medicaid and the Children’s Health Insurance Program (CHIP) included in the House-passed budget reconciliation bill (H.R. 1 or the “One Big Beautiful…
