Trump law cuts Medicaid payments
The gist
New federal rules may force three dozen states to cut Medicaid payments by over $50 billion.
The cuts could shrink care for millions, with rural hospitals most exposed.
How it unfolded
- 2025President Donald Trump signed the One Big Beautiful Bill Act (H.R. 1) into law, aiming to cut federal Medicaid spending by nearly $1 trillion over the next decade.
- Sep 21, 2026NYC launched a push to keep residents covered as Medicaid cuts loom, holding more than 40 training sessions for community organizations, hosting monthly webinars, fielding over 3,000 benefits-related calls last month, and sending guidance to 35,000 providers. The same day, Medicaid enrollees from five states and leading medical organizations filed a lawsuit challenging new Medicaid work requirements.
- Sep 22, 2026CBPP reported that the Trump and Congressional Republican agenda has harmed rural communities, with rural hospitals particularly vulnerable to Medicaid cuts.