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SNAP and Medicaid Will Change Dramatically in October: What to Know

SNAP and Medicaid Will Change Dramatically in October: What to Know

Summary

Starting October 1, new rules from President Donald Trump's budget law will change SNAP and Medicaid programs for low-income Americans. States will pay more to run SNAP, and some immigrants may lose full Medicaid coverage. Also, many adults on Medicaid will soon need to work or participate in certain activities to keep their benefits.

Key Facts

  • The federal government will reduce its payment to states for SNAP administration from 50% to 25%, meaning states cover 75% of these costs starting October 1, 2026.
  • Higher state costs for SNAP may lead to fewer caseworkers and slower processing of benefits, though SNAP benefit amounts will not be directly reduced.
  • Beginning October 2027, states with high payment error rates will need to pay part of SNAP benefit costs, which have traditionally been fully federal-funded.
  • Medicaid eligibility for some lawful non-citizens, like refugees and trafficking survivors, will narrow; full federal funding for Medicaid will be limited to U.S. citizens, green card holders, Cuban-Haitian entrants, and citizens of certain Pacific nations.
  • Emergency Medicaid and certain coverage for children and pregnant individuals will remain available.
  • Medicaid work requirements will start for some adults aged 19-64, requiring 80 hours per month of work, training, education, or community service to keep coverage.
  • These changes come from the One Big Beautiful Bill Act and are overseen by government departments including USDA and CMS.
  • Experts say the reforms aim to reduce federal spending but could increase challenges for vulnerable Americans and shift financial burdens to states.
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