Story perspectives
Iowa Medicaid Faces $257M Deficit Amid Budget Critique
10/4/2025
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Story summary
- State Auditor Rob Sand projects Medicaid deficits of $76 million in 2026 and $181 million in 2027.
- Sand criticizes Republican budgeting as irresponsible.
- Medicaid covers about 700,000 Iowans; a $307 million 2024 surplus came from temporary pandemic aid, with reserves expected to deplete by 2027.
- Legislative Republicans say they are committed to responsible budgeting amid rising Medicaid costs.
