Maryland to Drop 4,500 Immigrants From Medicaid Under H.R. 1
New federal immigration-status restrictions under the One Big Beautiful Bill Act take effect Thursday, disqualifying an estimated 4,500 Maryland Medicaid enrollees, including refugees, asylum seekers, humanitarian parolees and trafficking victims. Green-card holders, Cuban and Haitian immigrants, and Compact of Free Association migrants remain eligible, but other noncitizens lose coverage immediately, threatening continuity of care for conditions like cancer and diabetes. Advocacy group We Are CASA warns affected residents have few alternatives, since community clinics offer limited sliding-scale services and marketplace subsidies for these populations will also end in January 2027. The same effective date triggers a shift in SNAP administrative cost-sharing that could cost Maryland up to $57 million, compounding fiscal pressure on state safety-net programs.
Maryland Medicaid agency, MCOs, and safety-net providers must prepare for coverage terminations and uncompensated care spikes among a low-income population with chronic and acute conditions and no viable coverage alternative.
Managed Care · Finance
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