Medicaid Funding Cuts and Associated Lives Lost Mapped by Congressional District – Center for American Progress

Apr 24, 2025

Medicaid Funding Cuts and Associated Lives Lost Mapped by Congressional District

Congressional Republicans’ proposals to reduce federal Medicaid funding would lead to large coverage losses and hundreds of avoidable deaths each year in some congressional districts.

Authors: Natasha Murphy and Andrea Ducas

As Congress weighs a budget reconciliation package that would enact the largest Medicaid cut in the program’s history, Republican leaders—including Speaker of the House Mike Johnson (R-LA) and Energy and Commerce Chair Brett Guthrie (R-KY)—are considering proposals to reduce federal matching funds that support state Medicaid expansion populations.

The Affordable Care Act (ACA) guarantees states an enhanced federal medical assistance percentage (FMAP) of 90 percent to cover Medicaid costs for adults with family incomes up to 138 percent of the federal poverty level—with states covering the remaining 10 percent. This funding structure has enabled 40 states and Washington, D.C., to expand Medicaid and provide coverage for more than 20 million Americans. Shrinking the FMAP would shift significant financial burdens onto states, several of which have laws that trigger automatic rollbacks of Medicaid expansion if federal support declines. States would feel these effects across each of their congressional districts.

Read more: Medicaid Funding Cuts and Associated Lives Lost Mapped by Congressional District – Center for American ProgressSource Links: Medicaid Funding Cuts and Associated Lives Lost Mapped by Congressional District – Center for American Progress