On July 4, 2025, President Donald Trump signed into law the One Big Beautiful Bill Act (Public Law 119-21), a massive budget reconciliation package with implications for many sectors of the U.S. economy. The law contains a series of policy changes that aim to reduce federal spending and improve program integrity in Medicaid, the nation’s joint state-funded and federally funded health program for people with low incomes and disabilities. The authors of this report combined publicly available data, published literature, state and federal agency reports, and other sources of information and developed customized approaches to build state-level estimates through 2034 of Medicaid budget impact and enrollment changes associated with several key provisions of the law.
Read the full article: State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act //
Source: https://www.rand.org/pubs/research_reports/RRA4098-1.html