Regulatory Analysis | Jun 29, 2025

Assessing the 50-State Medicaid Coverage and Expenditure Impacts of the Senate Version of the One Big Beautiful Bill Act

On June 27, the Senate Budget Committee (SBC) released its version of the One Big Beautiful Bill Act (OBBBA) and on Saturday, June 28, the Senate approved a motion to proceed with debate over the Senate bill language. The Senate version of the OBBBA, which may still undergo further revisions through the amendment process, is expected to come up for a final vote in the Senate as early as Monday, June 30. Using its Medicaid Financing model, Manatt Health (Manatt) has prepared new state-by-state estimates [including the District of Columbia (D.C.) and excluding Tennessee due to data limitations] on the impact of the Medicaid provisions included in the Senate version of the OBBBA.

This resource consists of a written analysis and an accompanying Excel workbook (see button below to download).


Expert Perspectives

May 22, 2026

The Power of Transparency: How States Can Use Data Dashboards to Effectively Monitor H.R. 1

H.R. 1 will bring wide-reaching changes to the Medicaid program and as these provisions take effect, states will face questions about how the changes are impacting both the Medicaid program and the individuals who rely on it for coverage. This expert perspective outlines the case for state H.R. 1 data dashboards, provides practical design guidance, and highlights successful examples of recent state dashboards.