Defending Medicaid

FACT SHEETS AND ANALYSES

Dangerous Medicaid cuts will result in millions of Americans losing their health care, harming family financial security and devastating state and local economies. These fact sheets delve into a range of topics from populations that rely on Medicaid, the greatest threats faced by the program, and more.

• Updated – Senate and House Text Section-by-Section One Big Beautiful Bill Act
• Updated – Summary of Senate-Passed Health Care Provisions in Budget Bill
• Congress’ Provider Tax Proposals Would Be A Huge Blow to State Budgets
• Harmful Impacts of Proposed House and Senate Budget Bills: What Is at Stake for the 10 States That Have Not Yet Expanded Medicaid
• Medicaid Expansion Reduces Maternal Mortality: Medicaid Cuts Would Be Deadly for Mothers and Babies
• Medicaid Matters: To People, Our Economy and the Health Care System
• Medicaid Work Reporting Requirements: Bureaucratic Burdens That Threaten Working Families, Providers and Local Economies
• Medicaid Cuts Would Rip Away Health Coverage from Millions of Americans, Disproportionately Harming People of Color
• Medicaid Federal Funding: Cuts to Federal Share (“FMAP”) Hurt Families, Providers and State Economies
• Medicaid Provider Taxes: Restricting Them Threatens Hospitals, the Health Care System and State Economies

SIGN-ON LETTERS

As a long-time consumer advocate and leader in health care advocacy, Families USA regularly unites with other groups to share our collective voice to the administration. See below for press releases on each of these efforts. Want to get involved? Contact partnerships@familiesusa.org.

• More Than 85 National Organizations Urge Senate to Reject “One Big Beautiful Bill Act” Health Care Cuts and Prioritize Transparency, Rigor of Analysis, and Constituents’ Health Access (06/15/2025)
• Organizations Unite in the Hundreds to Urge Senate Majority Leader to Reject Proposal to Take Health Care Away from Millions of Americans (3/26/2025)
• On the First Full Day of President Trump’s Second Term, More Than 425 Organizations Urge Him to Protect Medicaid Coverage (1/21/2025)
• More Than 300 Organizations Urge New Congress to Protect and Strengthen Medicaid (1/3/2025)

LOCAL FACT SHEETS

To assist in efforts to Call on Congress following the passage of devastating Medicaid cuts, please utilize our series local fact sheets. We hope the data and talking points included in these fact sheets can be used to apply pressure to target members of Congress — reminding them that the Medicaid program is the bedrock of our health care system and they have a responsibility to their constituents. Should you have any questions about the data, please don’t hesitate to reach out to our team at: governmentrelations@familiesusa.org.

State-Level

District-Level

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FEDERAL COMMENTS

At the federal level, the Trump administration may take executive action to change existing policy through a notice of proposed rulemaking (NPRM) process or the Centers for Medicare and Medicaid Services (CMS) may provide an open comment period on state 1115 waiver applications following a state comment period (see below). Submitting comments is one way for organizations and individual citizens to provide feedback and create a public record on issues and policies that will impact their families and their communities. Should you have any questions on our submitted comments or if you are looking for technical assistance to write your own, please reach out to healthpolicy@familiesusa.org.

• Georgia’s 1115 Demonstration Waiver Extension Request
• Missouri’s 1115 Waiver Extension Application
• Ohio Department of Medicaid’s (ODM) Group VIII Demonstration Waiver
• Colorado’s “Expanding the Substance Use Disorder (SUD) Continuum of Care” 1115 Medicaid Demonstration Extension Request
• Arizona’s Section 1115 Waiver Amendment for AHCCCS Works Program
• Arkansas’ ARHOME Medicaid Waiver Amendment

STATE-SPECIFIC WORK

At the state level, actions revolve around state Medicaid programs, which are different depending on population and needs. One way in which states customize their Medicaid programs is through 1115 waivers. Reducing state’s ability to improve their programs harms community health and widens the gap in addressing health-related social needs (HRSN).

• Ohio’s Multi-Year Continuous Eligibility for Children 1115 Demonstration Waiver Application
• Arizona’s Section 1115 Waiver Amendment Request: “AHCCCS Works”
• Arkansas’ Proposed Amendment to Medicaid Section 1115 Demonstration Project, Arkansas Health and Opportunity for Me (ARHOME)

ADDITIONAL RESOURCES

Following the passage of the final budget bill that guts funding for Medicaid, terminates health care coverage for at least 17 million Americans and increases health care costs, it is helpful for researchers, advocates and other stakeholders to have access to the latest research and data on the Medicaid program.

This bibliography of resources pulls together current studies, reports and data analysis that examine: 1) the impact of various proposals to scale back Medicaid; and 2) the value Medicaid brings to the many populations it serves.

The Health Action Resources List is an evolving set of materials to support your work in fighting to defend health care for all Americans, regardless of where they are from, where they work, or how much money they make. Maintained by Families USA and aggregated by national and state partners, this list is a one-stop shop for key information to inform and support your advocacy, across issue areas and resource type.