Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 6:08 AM MT
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State Policy·September 23, 2026

Nine States to Vote on Tax Measures Affecting Medicaid and Public Program Funding

Voters in at least nine states will decide tax ballot measures this fall that could significantly alter revenue available for Medicaid and other public services. California's Proposition 40 would impose a one-time 5% wealth tax on billionaires to close budget gaps in Medicaid, food assistance, and education programs — a response to federal funding losses from the 2025 One Big Beautiful Bill Act. Colorado and Washington state also face income tax measures. California's measure would raise tens of billions for Medicaid and other services, though competing ballot measures could undo it if they receive more votes. The outcomes will determine state capacity to fund Medicaid programs amid tightening federal support.

Why it matters

State Medicaid agencies and health plans face direct budget exposure depending on whether voters approve or reject revenue measures designed to offset federal Medicaid cuts and sustain program funding levels.

Finance

Read the full article at penncapital-star.com
Also covered by:stateline.org

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