
Medicaid is a joint federal-state health insurance program that provides coverage for eligible individuals and households with limited financial resources. According to Medicaid, about 70.51 million individuals are enrolled. Another 7.24 million are enrolled in the Children’s Health Insurance Program (CHIP).
The Center for Medicare Advocacy (CMA) estimates that the 2025 One Big Beautiful Bill Act (OBBBA) cuts nearly $1 trillion in federal health care spending — and that the reductions will affect Medicaid more than Medicare, ACA marketplaces, medical student loans and all the other related programs that the legislation will impact in 2026.