Politics

Congressional Republicans’ One Big Beautiful Bill Act, which President Donald Trump signed into law last summer, will soon demand more from staff at state agencies in places where lawmakers expanded Medicaid to more low-income adults — nearly all states and the District of Columbia.

Amid the war with Iran, the president has proposed to scale back some of the very programs meant to ease families’ financial burdens.

Together, the hospitals provide care for nearly 7 million patients across the U.S., according to the analysis.

Last August, the Trump administration sent states the names of hundreds of thousands of Medicaid enrollees with orders to determine whether they were ineligible based on immigration status. But seven months later, findings from five states shared with KFF Health News show that the reviews have uncovered little evidence of a widespread problem.

States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act — a law that will strip safety-net health and food benefits from millions.

Between 4.9 and 10.1 million people could lose Medicaid coverage in 2028 as the result of new work requirements and more frequent eligibility checks.

New state estimates reveal expanded work requirements could result in tens of thousands of avoidable deaths across the country by 2040.

While The Paid Leave Act has worked well for some who have taken advantage of it, others complain that they’ve been held up by complications, delays and red tape.

The Trump administration has signaled a willingness to halt billions of dollars in federal health payments to multiple states, mirroring moves they made against Minnesota.