Senate Reconciliation Bill Would Reduce Federal Medicaid Spending by Over $200 Billion More Than the House Bill July 2, 2025 Quick Take All states and the District of Columbia will lose more federal Medicaid funding under the Senate-passed bill than under the House-passed bill. In 14 states, the Senate bill would reduce federal Medicaid spending by at least $5 billion more than the House bill would have.
Total Monthly Medicaid & CHIP Enrollment and Pre-ACA Enrollment July 2, 2025 State Indicator Medicaid Enrollment, Monthly Medicaid Enrollment, total Medicaid enrollment
How Might Federal Medicaid Cuts in the Senate-Passed Reconciliation Bill Affect Rural Areas? July 2, 2025 Blog Under the Senate-passed reconciliation bill, federal Medicaid spending in rural areas is estimated to decline by $155 billion, more than in the House-passed bill, and far more than the $50 billion appropriated for the rural health fund.
Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Senate Reconciliation Bill July 1, 2025 Issue Brief This analysis allocates the CBO’s estimated reduction in federal spending in the Senate reconciliation bill across states based on KFF’s state-level data and where possible, prior modeling work; and shows the federal spending reductions relative to KFF’s projections of federal spending by state under current law.
We’ve Never Seen Health Care Cuts This Big July 1, 2025 Perspective In this July 1 column for The New York Times Opinion section, KFF Executive Vice President for Health Policy Larry Levitt explains how the budget reconciliation bill passed by the Senate on July 1 is effectively a partial repeal of the Affordable Care Act (ACA) and, if signed into law,…
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State July 1, 2025 Issue Brief Section 1115 Medicaid waivers can allow states to test new approaches in Medicaid that differ from what is required by federal law. This page tracks approved and pending waiver provisions (including expansions and restrictions) related to eligibility, benefits, and social determinants of health and other delivery system reforms.
