New Federal Medicaid Policies Compound State Budget Pressures

The Pew Charitable Trusts | January 13, 2026

State policymakers must now manage the budgetary and operational impacts of some of the most sweeping revisions in Medicaid’s 60-year history—changes enacted through H.R. 1, the federal budget reconciliation law passed last July—while also contending with substantial and growing underlying cost pressures. Read full article