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Manatt Health·April 17, 2025

New Toolkit Helps States Model Financial Impact of Federal Medicaid Cuts Under Budget Reconciliation

Manatt Health released a state-by-state analysis tool estimating how proposed Congressional cuts—including reduced federal matching rates for expansion adults, elimination of the 50% FMAP floor, and per-capita caps—would affect Medicaid spending and enrollment through 2034. The toolkit models scenarios ranging from states ending expansion (resulting in a 32% national enrollment drop) to states backfilling lost federal funds (requiring $836 billion in new state spending). This resource gives state Medicaid directors and MCO executives concrete data to inform budget planning and advocacy as reconciliation proposals advance.

Managed Care · Finance

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This is outside commentary from Manatt Health, not part of Medicaid Monitor's independently scored news coverage.

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