Policy wonk alert: The Globe’s Katie Johnston has a good story on how the U.S. House’s ‘beautiful bill’ would impact Massachusetts – and it’s a big impact via mostly funding cuts to Medicaid and the SNAP (food stamps) program. The potential price tag to the state: more than $1.5 billion a year. That’s if the state tries to pick up the federal funding slack. … My own back-of-the-envelope calculations suggest the hit might be far greater. … Either way, assuming the Senate doesn’t radically change the main thrust of the bill (and I don’t think it will), the state is going to have some major policy decisions to make over the next year or so. Potentially hundreds of thousands of people in the state could lose various benefits, while others, such as hospitals, cry for financial help due to the loss of federal Medicaid funds.
Btw — Moderate Republicans earlier this month may have successfully opposed direct funding cuts to Medicaid, something that could have blown an immediate hole in the state budget. But they later went along with disguised indirect funding cuts, via work requirements that they know full well are designed to throw people off of Medicaid, thus achieving $800 billion in savings over the next 10 years, as the Washington Post makes clear (scroll down to chart).
Update – 5.28.25 – From WBUR: “Healey says 250,000 people in Massachusetts could lose insurance under GOP’s proposed cuts.” … The Globe has a follow-up story estimating the total hit to the state could be around $1.75 billion.


