By Sareen Habeshian
Axios
President Trump's signature tax and spending legislation, the "big beautiful bill" is now law, and that means cuts to Medicaid spending.
The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes, likely forcing states to make corresponding reductions to their programs or to pick up a greater share of obligations.
Medicaid work requirements, which account for many of the nearly 12 million people projected to lose coverage under the bill, generally won't kick in until 2027 — and some states could get extensions, Axios' Maya Goldman reports.
Because states have varying names for their Medicaid programs, experts say Americans may not realize the cuts and work rules apply to them. So there could be a surprise factor when the changes finally come.
Zoom in: Medicaid is administered by states using a combination of federal and state funds. Each program has its own name. In Texas, it's STAR (State of Texas Access Reform). The percentage of costs paid by the federal government, known as the FMAP, varies by state.
States have to cover certain core benefits and they may get federal funds for some optional services.
The FMAP can also provide a higher matching rate for specific services or populations, like people covered under the ACA Medicaid expansion.
By the numbers: In fiscal year 2025, the federal government paid up to 77 percent of Medicaid service costs in the lowest-income states, with the national average at 60 percent.
The FMAP can also provide a higher matching rate for specific services or populations, like people covered under the ACA Medicaid expansion.
By the numbers: In fiscal year 2025, the federal government paid up to 77 percent of Medicaid service costs in the lowest-income states, with the national average at 60 percent.
12 comments:
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I didn't vote for this. I don't rely Medicaid. JMon, don't you look at people sometimes and wonder if I struggled, busted my ass, and went to college to earn a living why didn't they? Many people are in the position they are in because of their choices. Trump was their choice. Se acabó el pedo. Fue lo que escogieron.
This is long overdue. For the first time, able-bodied adults aged 19-64 must work, participate in job training, or enroll in school for at least 80 hours a month to maintain Medicaid benefits. What’s wrong with this? Parents of children aged 14 and older are also subject to these requirements. What’s wrong with this? States must verify eligibility more frequently, increasing the administrative burden and potentially leading to more people losing coverage. What’s wrong with this?
The bill prohibits Medicaid from funding gender-affirming care and restricts access for undocumented immigrants. What’s wrong with this? Medicaid is just one of many programs that for years has been abused and mismanaged. If you want to call these cuts I guess you’re part of the extreme left that just likes to give taxpayer money away. The Big Beautiful Bill remains just that!
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6:21 Undocumented individuals are ineligible for traditional Medicaid, CHIP
or Medicare. Stop with the bullshit regarding a problem that doesn't exist.
Information on this subject is readily available. Read.
I have never been offered a job by a poor or middle class person. I smell the envy of an underachieving leftist who loathes hard work.
You have never been offered a job by a middle class person because they are busy busting their asses earning money.
Do you want to go cut their lawn and trim their trees?
The middle class have to work! Elon is wealthy has he offered you a job? How about Trump?
Not everyone is "college" material, you dumb ass. Can be seen that college didn't do you any good.
No more Medicaid for Illegals !!!!!!!!!!!
Most can learn a skill. Plumbing, air conditioning, wind turbines, welding,... All earn great money. The point is that people need to work with the sweat of their brow.
Some of these skilled workers earn more than a college educated person.
LAZY MEXICAN-AMERICANS (that’s most of you) will now have to get a FUCKING JOB or SUFFER without health care...GREAT JOB President Trump; these pieces of shit have finally met their match! Jajajajajaja
Lazy tu madre who didn't teach you about diversity. Go back to the hills you came from. Up on a hill no one will bother you. Ignorant dumbass.
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