States Face Massive Medicaid Issues Thanks to the One Big Beautiful Bill Act

The changes to Medicaid outlined in Trump’s One Big Beautiful Bill Act (OBBBA) are still coming into view – and so are the policy adjustments that states can make to maintain enrollment.

The Congressional Budget Office (CBO) estimates that the federal government will save $911 billion over 10 years from enacting these changes to Medicaid and that 10 million people will lose health insurance as a result.