🏛️💸 Trump’s Spending Bill Cuts Medicaid — What It’s Called in Your State! ⚠️📍

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📉🩺 Big changes to Medicaid are here — Trump’s new spending bill slashes funding and rebrands Medicaid under different names in each state. Find out what it’s called where you live, who’s affected, and what it means for your healthcare. 🗂️🇺🇸 Stay informed, protect your coverage!


🏛️ #MedicaidCuts, ⚖️ #HealthcareNews, 📍 #StateHealthcare


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 motionalmost $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 sayAmericans 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.


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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% of Medicaid service costs in the lowest-income states, with the national average at 60%.

Here's what every state calls its Medicaid program:

Go deeper: Trump bill's health effects won't be felt until after midterms



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