Medicaid Resource Center

On July 4, 2025, the budget reconciliation bill, H.R. 1, was signed into law, making cuts of almost $1T to Medicaid funding. Below is a summary of key provisions impacting the Medicaid program.

The budget reconciliation bill that passed contains language that will have an impact on people with disabilities and disability services.

This resource from NAMD outlines key Medicaid policy changes in OBBBA with the greatest operational impact and upcoming deadlines for state and territory agencies.

Congressional Budget Office report on the distributional effects of the reconciliation bill.

People with I/DD, their families, community providers and state lawmakers will all be impacted by state cuts to community-based services due to federal Medicaid funding reductions.

The budget reconciliation bill signed into law on July 4, 2025 makes changes to two important state funding mechanisms: provider taxes and state-directed payments.

Use this customizable template to share with lawmakers and policymakers how your state will be impacted by changes to state financing mechanisms for Medicaid programs.

2025 Special Session tracker by state, maintained by the Center for Budget and Policy Priorities.

The One Big Beautiful Bill Act (OBBBA) established the Rural Health Transformation Program.

CMS has provided instructions for states on how to apply for RHT Program funding via a Notice of Funding Opportunity that will be available in mid-September 2025.

The U.S. House of Representatives voted to pass the FY 25 budget reconciliation bill, legislation that will make deep cuts to Medicaid and inflict harm on people with disabilities and the network of community-based supports they depend on.

ANCOR urges the U.S. Senate Committee on Health, Education, Labor, and Pensions to support policies to invest in Medicaid-funded services for people with I/DD.

Get the answers to some of the questions we hear most frequently regarding how cuts to Medicaid will harm disability services.

Federal Medicaid cuts shift costs to states and harm disability services, forcing people with I/DD to struggle to meet their most basic needs.

These critical services help people with I/DD to live full and independent lives in their communities, but access is at risk.

A longstanding shortage of direct support professionals has led to closures of critically needed services and a denial of access to community.

Medicaid work requirements not only waste millions of dollars on expensive tracking systems and overhead costs, but they are extremely burdensome for beneficiaries to navigate and for states to administer.

This summary describes the health care provisions in the law (described as the Senate-passed bill) in four categories: Medicaid, the Affordable Care Act, Medicare and Health Savings Accounts (HSAs).

[From KFF] The Congressional Budget Office’s (CBO) latest cost estimate shows that the Senate bill would reduce federal Medicaid spending by $1 trillion and increase the number of uninsured people by 11.8 million.

[From KFF] State Medicaid fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, access and financing, as well as a politics section for each state.

[From Association for Community Affiliated Plans] Understanding the number of Medicaid beneficiaries by congressional district across the United States.

[From Georgetown University] Analysis by the McCourt School of Public Policy illustrates why claims of widespread waste, fraud and abuse in Medicaid are simply false.

[From Health Affairs] Medicaid cuts, if enacted, will have devastating effects on the most vulnerable populations who will experience loss of coverage, cuts to their benefits, and lower quality of care.

[From Robert Wood Johnson Foundation] Medicaid plays an enormous role in state economies as the single largest source of federal funding to almost every state, comprising two-thirds of all federal grants to states on average.

[From Mathematica] National LTSS expenditures totaled $199.4 billion in FY 2020, with HCBS accounting for $124.6 billion and institutional services accounting for $74.8 billion.

[From PHI] Community providers, funded through Medicaid, are a top driver of job creation with the direct care workforce being the fastest-growing profession over the next decade.

[From Rockefeller Institute] A recent study of disability services in New York found that the economic impact of those services alone was double the investment made by the state into those services.

[From CMS] Investments in HCBS have produced long-term savings by enabling more individuals to be supported in less-costly settings by a margin of about 3:1.

All the basics about home- and community-based services in just two minutes.

The truth about the impact and necessity of Medicaid, from those who would know.

The billions of dollars in proposed #Medicaid cuts in the House and Senate budget reconciliation bills will massively cut federal funding to states.

Sample social media posts to support you in advocating for Medicaid community-based services.