Regulatory Analysis , Templates & Toolkits | Jun 2, 2025

House Budget Bill Medicaid Proposals: State-by-State Estimates of Impacts on Expenditures and Enrollment

Manatt Health

On Thursday, May 22, the House passed its “One Big Beautiful Bill Act” through the budget reconciliation process. As the Senate moves to take up the legislation, Manatt Health—with support and input from State Health and Value Strategies—has updated its toolkit for states, estimating the state-by-state impact over the next 10 years of most of the major provisions in the bill. The estimates take into account the interactions across the provisions included in the Manatt model.

This resource is an updated version of Analyzing the Impact of Potential Medicaid Cuts: A Toolkit for States and consists of a written analysis and an accompanying Excel workbook (see button below to download).