States Brace for Impact as Medicaid Cuts Loom Under Trump

With the potential return of Donald Trump to the White House and a Republican-controlled Congress in 2025, the Affordable Care Act's Medicaid expansion is at risk, potentially affecting over 3 million adults in nine states with trigger laws that would end expansions if federal funding decreases. These states include Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia. The federal government currently covers 90% of the expansion costs, but proposed cuts could force states to reconsider their Medicaid programs, potentially increasing the uninsured rate.