Becker's Healthcare February 24, 2025
Almost 11 million people would become uninsured if Medicaid expansion states can’t fulfill spending obligations left by potential federal Medicaid cuts, according to a Feb. 24 analysis from the Urban Institute and the Robert Wood Johnson Foundation.
Under the ACA, Medicaid expansion states receive additional funding called the enhanced Federal Medical Assistance Percentage, or enhanced FMAP. Eliminating the enhanced FMAP has been floated by some federal lawmakers to reduce government spending.
If the enhanced FMAP ends, states would need to collectively find $44.3 billion in lost federal funding for 2025, which equates to an average spending increase of 25.6% for each state that expanded Medicaid.
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