Economy

States face tough choices as federal Medicaid cuts loom

Lawmakers are still working to understand how the new federal law will affect their Medicaid programs.
Center for Medicare and Medicaid Services Administrator Dr. Mehmet Oz, center, talks after a policy luncheon on Capitol Hill, Tuesday, June. 17, 2025, in Washington. (AP Photo/Mariam Zuhaib)

BOSTON — State leaders will likely need to cut spending or move money from savings to manage Medicaid cuts and cost-shifts under the federal One Big Beautiful Bill Act, lawmakers said Monday at the National Conference of State Legislatures annual summit. 

Nevada Gov. Joe Lombardo (R) has said he will not raise taxes, so lawmakers will need to consider cutting Medicaid spending, said Sen. Fabian Doñate (D), the deputy majority whip.  

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