HIT Consultant September 11, 2025
Medicaid is a lifeline for roughly 84.5 million people across the U.S., yet access to that safety net still depends on state lines. Ten states—Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, and Wyoming—continue to reject the Affordable Care Act (ACA) expansion, leaving an estimated 1.4 million adults in the infamous coverage gap. This category includes individuals whose earnings are too high for traditional Medicaid but still below the poverty level that qualifies them for Marketplace subsidies.
Now, both the House and Senate have passed budget reconciliation bills with provisions that aim to reshape the Medicaid landscape. While the two chambers still need to reconcile their differences before final enactment, the changes will likely have two significant...







