The new federal budget deal reduces Medicaid funding by $715 billion and introduces stringent work requirements and cost-sharing that could cut healthcare coverage for 600,000 Pennsylvanians, increase uncompensated care costs, and strain state healthcare systems.

In 2025, GOP efforts to reform Medicaid face challenges from record enrollment, expanded coverage, and shifting political landscapes, with proposals including work requirements and spending cuts.

Analysis of federal Medicaid spending caps shows potential $246B cost shift to states and coverage losses up to 20 million under ACA expansion.

Paragon Health Institute updates its research library to provide insights into Medicaid funding reforms and fraud prevention, highlighting systemic issues in federal and state Medicaid financing.