{
  "id": 181457,
  "title": "Map Shows Which States Could See Biggest Medicaid Cuts by 2028",
  "url": "https://urgent.news/2026/08/05/map-shows-which-states-could-see-biggest-medicaid-cuts-by-2028",
  "topic": "health",
  "section": "Health & Medicine",
  "published": "2026-08-05T15:13:04.000Z",
  "source": {
    "name": "Newsweek",
    "slug": "newsweek",
    "url": "https://www.newsweek.com/map-shows-which-states-could-see-biggest-medicaid-cuts-2028-12286625"
  },
  "original_language": "en",
  "account": "California and New York may experience the greatest numerical reductions in Medicaid expansion enrollment by 2028 due to federal work requirements and more frequent eligibility checks, according to projections from the Urban Institute. The intermediate implementation scenario predicts an 8 million decrease in average monthly enrollees nationwide. However, the impact varies significantly among states based on population and verification capabilities. Under the One Big Beautiful Bill Act, adults in 41 participating states must complete 80 hours of approved activities monthly, including employment, community service, education, or approved programs. Exemptions apply to certain groups, such as pregnant people, former foster youth, and individuals with disabilities. States must reassess eligibility every six months instead of annually. The six-month reviews alone could reduce average monthly enrollment by 3.1 million in the medium scenario, before the work requirements' effects. Republicans argue the requirements encourage employment and protect vulnerable recipients, while the Working Families Tax Cut legislation aims to implement these changes. California is projected to lose by far the largest number of enrollees, with nearly 2 million fewer people in Medicaid expansion coverage monthly. New York follows with an estimated decline of 955,000 enrollees. Massachusetts faces the largest proportional reduction, with enrollment projected to fall by 54 percent. Other states with substantial numerical declines include Pennsylvania, Virginia, Washington, North Carolina, and New Jersey. The reductions range from 30 to 54 percent under the medium scenario, but some groups, such as the self-employed, students, and people with conditions affecting their ability to work, face heightened risks of losing coverage.",
  "summary": "Researchers estimate that average monthly Medicaid expansion enrollment nationwide could be almost 8 million lower in 2028.",
  "key_points": [],
  "editors_take": null,
  "illustration": null,
  "coverage": {
    "outlets": 1,
    "also_reported_by": []
  },
  "ai_generated": true,
  "disclaimer": "Summaries, key points and the editor’s take are written by software from other outlets’ reporting and may contain errors — always check the linked original."
}