Commonwealth Fund October 14, 2025
TOPLINES
State policymakers will have to make tough choices in response to the Medicaid funding cuts — $900 billion over 10 years. They’re already warning that the cuts will lead to benefit reductions, provider pay cuts, and lost coverage for millions.
The Medicaid cuts could lead to lower provider rates, leading to worsening access to care and greater strain on safety-net providers
Over the next 10 years, federal spending on Medicaid will decrease by $900 billion because of policy changes that are part of H.R. 1, the tax and spending law recently passed by Congress. States could see their federal funding drop by millions — or billions. North Carolina has predicted it will lose $40 billion in funding in the...
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