400,000 Illinois residents could lose their Medicaid coverage to federal cuts

Cook County Health’s Medicaid Impact Workgroup announced the launch of Get Medicaid Facts, a microsite and communications toolkit designed to help enrollees, community organizations, health care providers, insurers and public agencies prepare for major upcoming changes to Medicaid eligibility.

In 2025, federal lawmakers passed House Resolution (H.R.) 1, also known as the “One Big Beautiful Bill Act.” Key provisions of the legislation are projected to cut $1 trillion from Medicaid nationally over the next 10 years, including $26 billion in cuts to Medicaid funds for Illinois. An estimated 400,000 Illinoisans could lose coverage due to funding and eligibility changes contained in H.R. 1, according to Robert Wood Johnson Foundation.

“The healthcare provisions of H.R. 1 will bring widespread and complex shifts to the Medicaid program in the years to come, including more requirements customers must meet to be eligible for coverage and major financing changes that will put significant pressure on the state budget,” Illinois Department of Healthcare and Family Services Director Elizabeth M. Whitehorn said. “Mitigating the anticipated harm these federal changes will cause by helping customers navigate the new requirements to keep their coverage and working to ensure the Illinois Medicaid program can continue to cover as many critical healthcare services as possible are HFS’ top priorities. We are grateful to Cook County Health and to all of our partners who share these goals and commitment to Medicaid customers.”…

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