How Medicaid Cuts May Affect the Health Workforce
Abstract
Provisions of HR1 are starting to take effect and health care leaders are preparing for the nearly $1 trillion fewer dollars that will be directed to the Medicaid program in the coming years.
This reduction in spending will be variable across states, largely affecting the 41 states (and DC) that expanded Medicaid under the Affordable Care Act.
A major factor contributing to this reduction is the expected decline in Medicaid enrollment with the loss of eligibility among selected immigrant populations as well as implementation of a six-month redetermination of eligibility and work requirements.
Restrictions on provider taxes and state-directed payments are another set of factors set to reduce state revenues and federal funds supporting Medicaid programs across states.
The significant reduction in Medicaid spending is expected to be felt across the health care system and there will be consequences for the health workforce.
(Publication available upon request.)
Authors:
Frogner BK
Journal/Publisher:
Health Affairs Insider
Edition:
Oct 2026.
Citation:
Frogner BK. How Medicaid Cuts May Affect the Health Workforce. Health Affairs Insider. Oct 2026