Story perspectives

Big Beautiful Bill May Cost 5-10 Million Medicaid Coverage

3/30/2026

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Medicaid Coverage Losses

The Big Beautiful Bill could cause 5–10 million people to lose Medicaid coverage by 2028 due to new work requirements and more frequent eligibility checks.
An analysis estimates that 2–3.1 million could lose coverage from semi-annual redeterminations.
Between 3 and 7 million may be affected by work mandates requiring documented hours worked or volunteered.
Verification challenges could disproportionately affect self-employed individuals and caregivers for disabled persons, risking coverage losses.

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States Face Funding Risks

States that opt out of the Education Freedom Tax Credit risk nearly $23 billion in education funding over three years.
An interactive Funding Loss Calculator will illustrate potential losses for non-participating states.
The program provides up to $1,700 in federal tax credits for donations to scholarship organizations supporting K–12.
Currently, 28 governors have opted in.
Erika Donalds, chair of educational opportunity at the America First Policy Institute, urged school choice.

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Medicaid Coverage Losses

The Big Beautiful Bill could cause 5–10 million people to lose Medicaid coverage by 2028 due to new work requirements and more frequent eligibility checks.
An analysis estimates that 2–3.1 million could lose coverage from semi-annual redeterminations.
Between 3 and 7 million may be affected by work mandates requiring documented hours worked or volunteered.
Verification challenges could disproportionately affect self-employed individuals and caregivers for disabled persons, risking coverage losses.

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