Map Shows Which States Could See Biggest Medicaid Cuts by 2028
Summary
New federal rules require adults on Medicaid expansion to complete 80 hours of work or approved activities each month and increase eligibility checks from once a year to every six months. These changes, part of a 2025 law signed by President Donald Trump, could reduce Medicaid enrollment by nearly 8 million people nationwide by 2028, with California and New York seeing the biggest drops.Key Facts
- Adults aged 19 to 64 on Medicaid expansion must do 80 hours of work, community service, education, or approved programs monthly.
- Certain groups are exempt, including pregnant people, former foster youth, veterans with disabilities, and caregivers for young children or disabled people.
- States must check Medicaid recipients’ eligibility every six months instead of once a year.
- These changes come from the One Big Beautiful Bill Act, signed by President Donald Trump in July 2025.
- The Urban Institute projects nearly 8 million fewer people on Medicaid expansion by 2028 due to the new rules.
- California could lose about 2 million Medicaid enrollees; New York about 955,000.
- Other states with large declines include Illinois, Michigan, Ohio, Pennsylvania, Virginia, and Washington.
- The government says the requirements help people build work skills and become more independent.
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