State updates as of June 13, 2025.

On Thursday, May 22, the U.S. House of Representatives passed its reconciliation legislation, the “One Big Beautiful Bill Act.” If enacted in its current form, the bill would significantly increase rates of uninsurance for immigrants—including many non-citizens who are lawfully present in the country. This expert perspective analyzes the combined impact of the bill’s provisions on non-citizen coverage across the Marketplace and Medicaid.

State updates as of June 6, 2025.

State updates as of May 30, 2025.

State updates as of May 23, 2025.

On May 14, the House Energy and Commerce Committee (E&C) voted to advance its legislative proposals to meet the budget reconciliation instructions. The committee’s proposals largely target cuts at the Medicaid expansion group created by the Affordable Care Act, including by establishing a state mandate to impose a work requirement on this population. This expert perspective provides an analysis of the E&C proposal to establish work requirements for Medicaid expansion and certain other low-income adults.

State updates as of May 16, 2025.

State updates as of May 9, 2025.

The budget reconciliation process is continuing to move forward in Congress and includes developing proposals in the House to identify $880 billion in federal savings over the next ten years, the vast majority of which will need to come from Medicaid. To support states in informing and validating their own fiscal and program impact estimates of federal policy changes, Manatt Health has developed, with support and input from State Health and Value Strategies, a new toolkit providing national and state-by-state data on the potential impact of key cuts under consideration in Congress. This expert perspective provides an executive summary of the toolkit and has been updated to include estimates of state-by-state impacts of making work requirements a condition of Medicaid eligibility.

State updates as of May 2, 2025.