{"id":25479,"date":"2025-04-06T09:00:32","date_gmt":"2025-04-06T09:00:32","guid":{"rendered":"http:\/\/medexperts.pro\/?p=25479"},"modified":"2025-04-07T12:25:14","modified_gmt":"2025-04-07T12:25:14","slug":"the-three-states-that-are-especially-stuck-if-congress-cuts-medicaid","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=25479","title":{"rendered":"The Three States That Are Especially Stuck if Congress Cuts Medicaid"},"content":{"rendered":"
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States that were once reluctant to expand Medicaid now have their state budgets tied to the fate of the program by constitutional amendments.<\/p>\n

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If congressional Republicans go through with some of the deep Medicaid cuts they are considering<\/a>, three states would be left in an especially tight bind.<\/p>\n

South Dakota, Missouri and Oklahoma have state constitutions requiring that they participate in Medicaid expansion, the part of Obamacare that expanded the health program for the poor to millions of adults.<\/p>\n

If Republicans choose<\/a> to make the projected budget reductions by cutting into Medicaid expansion, the other 37 states (and D.C.) that participate in the expansion could stop covering working-class adults. Nine states<\/a> have laws explicitly requiring them to stop Medicaid expansion or make significant changes if the federal share of spending drops.<\/p>\n<\/div>\n<\/div>\n

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But South Dakota, Missouri and Oklahoma can\u2019t do that. They either need to amend their constitutions, a lengthy process that can take years, or figure out how to fill the budget hole, most likely by cutting other services or raising taxes.<\/p>\n<\/div>\n<\/div>\n

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How States Adopted Medicaid Expansion<\/h2>\n

In recent years, voters in seven states led by Republican governors expanded Medicaid through referendums, with voters in three of them amending the constitution.<\/p>\n<\/header>\n

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