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The Guardian - US
The Guardian - US
World
Bobbi Dempsey

‘I don’t know how we would survive’: caregivers speak of fears over upcoming Medicaid cuts

A man brushes another man's teeth
Marlon McKnight brushes Joshua Erenmark’s teeth. Erenmark has 24/7 support staff partly paid through Medicaid. Photograph: MediaNews Group/Los Angeles Daily News/Getty Images

Whether taking care of an older parent, a relative with disabilities or a child with a serious medical condition, family caregivers in the US are nervous and afraid of upcoming cuts to Medicaid – including those resulting from the Donald Trump-backed legislation known as the One Big Beautiful Bill Act.

The program, which serves low-income families, pregnant women, children, seniors and people with disabilities, enables more than 70 million people to receive critical services while alleviating some of the financial demands on caregivers. But now the bill could chip away at that support with cuts that include ending the temporary incentive for states to adopt the Medicaid expansion, implementing mandatory work requirements (with some exceptions), more frequent eligibility redeterminations for those covered under the Medicaid expansion, and reducing state funding that could force cuts to state-funded home and community-based services for older adults.

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