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Wednesday, November 4, 2026 · Updated 9:05 AM MT · 47 stories today
Wed, Nov 4 · 47 stories todayPRO
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State Policy · MNNovember 4, 2026

DFL Wins Minnesota Trifecta, Faces Medicaid Budget Pressure

Democrats won majorities in both chambers of the Minnesota Legislature and the governor's race, giving the DFL full control of state government after two years of divided rule. Governor-elect Amy Klobuchar has pledged no new tax increases, even as the state faces a structural budget gap and federal funding cuts to safety net programs. Minnesota covers more than 1.2 million low-income and disabled residents through Medical Assistance, the state's Medicaid program, and rising health care costs mean the state will need to spend more to sustain that coverage. Unlike the 2023-24 session, when Democrats had a $17 billion surplus to expand benefits, the 2027-28 Legislature will negotiate budgets under tighter fiscal constraints amid competing demands from schools, universities, and local governments.

Why it mattersMinnesota Medicaid stakeholders should expect budget-driven scrutiny of Medical Assistance spending rather than the expansionary investments seen in the last DFL trifecta, as state leaders balance coverage for 1.2 million enrollees against a tightening fiscal picture and federal funding cuts.

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Read the full article at minnesotareformer.com →
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