State Policy · VA
Virginia Governor Issues Executive Order Responding to Federal Medicaid Cuts
On August 25, 2025, Virginia Governor Abigail Spanberger signed Executive Order 20 establishing the "Keep Virginia Covered" policy to address federal Medicaid and SNAP reductions enacted through H.R.1. The federal legislation cuts approximately $1 trillion from Medicaid nationwide over 10 years, with Virginia projected to lose $1.8 to $2.6 billion annually in federal funding beginning in 2028. An estimated 300,000 Virginians are at risk of losing Medicaid coverage as a result. The executive order directs state agencies to develop strategies to mitigate coverage losses and maintain program access in the face of reduced federal support.
Why it mattersVirginia managed care organizations and providers face potential enrollment disruptions affecting 300,000 beneficiaries and annual federal funding reductions exceeding $1.8 billion starting in 2028, requiring immediate operational and financial planning.