One Big Beautiful Bill
3 briefs
Nebraska Just Started Kicking People Off Medicaid for Not Working. The Federal Government Won't Track What Happens Next.
The biggest change to Medicaid since the ACA is rolling out state by state, with no federal reporting requirement, definitions that aren't finalized, and a January 2027 deadline that 43 states have to hit without knowing the rules.
446 Hospitals Are Now at High Risk of Closing. Most Are in Trump Country.
A new Public Citizen analysis names 446 hospitals across 44 states at heightened risk of closure after the Medicaid cuts in the One Big Beautiful Bill. The hospitals most exposed are rural, and the counties they serve voted heavily for Trump.
States Are Already Cutting Medicaid. Congress Hasn't Even Voted Yet.
Missouri, Montana, Virginia, and other states are preemptively eliminating Medicaid services — doula care, psychiatric units, dental coverage — in anticipation of federal cuts that have not yet been enacted. The cuts are happening twice: once in advance, and once when the bill passes.