States are preparing for major changes to health care delivery under the budget reconciliation bill President Trump signed Friday — changes that affect all residents, not only Medicaid recipients.
The biggest budget impact of the law, known as the One Big Beautiful Bill Act, comes from new Medicaid restrictions, which analysts say could lead to millions losing coverage, though the effects will vary by state. The legislation is structured so the brunt of the federal budget cuts will fall on the 40 states that expanded Medicaid under the 2010 Affordable Care Act.
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