A recent analysis from the Maryland Department of Health reveals that up to 175,000 Marylanders may lose Medicaid coverage under the new federal legislation known as the One Big Beautiful Bill Act. The state could also face a loss of $2.7 billion in federal funding and incur millions in additional costs to implement the law.
The law introduces complex new work requirements, paperwork, and eligibility checks for Medicaid enrollees. It also changes how states fund health programs, how doctors are reimbursed for treating complex cases, and which immigrants qualify for coverage.
Maryland officials had anticipated some financial impact during legislative debates, but the latest review shows even more severe consequences. The changes could affect nearly every Maryland resident, not just those on Medicaid, leading to reduced healthcare access and longer emergency room wait times…