Trump's spending bill cuts Medicaid: Here's what it's called in your state
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President Trump's signature tax and spending legislation, the "big beautiful bill," is now law, and that means cuts to Medicaid spending.
The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes, likely forcing states to make corresponding reductions to their programs or to pick up a greater share of obligations.
- Medicaid work requirements, which account for many of the nearly 12 million people projected to lose coverage under the bill, generally won't kick in until 2027 — and some states could get extensions, Axios' Maya Goldman reports.
- Because states have varying names for their Medicaid programs, experts say Americans may not realize the cuts and work rules apply to them. So there could be a surprise factor when the changes finally come.
Zoom in: Medicaid is administered by states using a combination of federal and state funds. Each program has its own name.
- The percentage of costs paid by the federal government, known as the FMAP, varies by state.
- States have to cover certain core benefits and they may get federal funds for some optional services.
- The FMAP can also provide a higher matching rate for specific services or populations, like people covered under the ACA Medicaid expansion.
By the numbers: In fiscal year 2025, the federal government paid up to 77% of Medicaid service costs in the lowest-income states, with the national average at 60%.
Here's what every state calls its Medicaid program:
- Alabama: Alabama Medicaid
- Alaska: DenaliCare
- Arizona: Arizona Health Care Cost Containment System (AHCCCS)
- Arkansas: Health Care
- California: Medi-Cal
- Colorado: Health First Colorado
- Connecticut: HuskyHealth (Husky A, C and D)
- Delaware: Diamond State Health Plan
- Florida: Statewide Medicaid Managed Care Program (includes the Managed Medical Assistance Program and Long-Term Care Program)
- Georgia: Georgia Medicaid
- Hawaii: Med-QUEST
- Idaho: Idaho Medicaid
- Illinois: Medical Assistance Program
- Indiana: Indiana Health Coverage Programs (including Hoosier Healthwise, Hoosier Care Connect and Health Indiana Plan)
- Iowa: IA Health Link
- Kansas: KanCare Medical Assistance Program
- Kentucky: Kentucky Medicaid
- Louisiana: Healthy Louisiana
- Maine: MaineCare
- Maryland: Medical Assistance
- Massachusetts: MassHealth
- Michigan: Medical Assistance (MA)
- Minnesota: Medical Assistance (MA)
- Mississippi: Mississippi Coordinated Access Network (MississippiCAN)
- Missouri: MO HealthNet
- Montana: Montana Medicaid
- Nebraska: Nebraska Medical Assistance Program (NMAP)
- Nevada: Nevada Medicaid
- New Hampshire: NH Medicaid (Medical Assistance)
- New Jersey: NJ FamilyCare
- New Mexico: Centennial Care
- New York: Medicaid Managed Care
- North Carolina: NC Medicaid, Division of Health Benefits (DHB)
- North Dakota: North Dakota Medicaid, North Dakota Medicaid Expansion Program
- Ohio: Ohio Medicaid
- Oklahoma: SoonerCare
- Oregon: Oregon Health Plan (OHP)
- Pennsylvania: Medical Assistance (MA)
- Rhode Island: RI Medical Assistance Program, Affordable Care Coverage, Katie Beckett, Medicaid for Elders and Adults with Disabilities and Sherlock
- South Carolina: Healthy Connections Medicaid
- South Dakota: South Dakota Medical Assistance Program
- Tennessee: TennCare Medicaid
- Texas: STAR (State of Texas Access Reform)
- Utah: Utah Medicaid
- Vermont: Green Mountain Care, Dr. Dynasaur
- Virginia: Cardinal Care
- Washington: Apple Health
- Washington, D.C.: DC Medicaid, Healthy Families
- West Virginia: West Virginia Medicaid Program
- Wisconsin: Wisconsin Medicaid, Forward Health, BadgerCare, Medical Assistance
- Wyoming: Wyoming Medicaid, Equality Care
- Puerto Rico: Plan Vital
Go deeper: Trump bill's health effects won't be felt until after midterms
