Posted on 07/11/25
| News Source: Maryland Matters
Annapolis, MD - July 11, 2025 - Deep cuts to Medicaid in the One Big Beautiful Bill Act will likely force thousands of Marylanders off the Medicaid rolls, creating ripple effects that advocates fear could strain and disrupt the state’s overall health care system.
“The whole situation is incredibly frustrating and a lot of harm has been done to the Maryland health care system with this bill,” said Gene Ransom, CEO for MedChi, the Maryland State Medical Society.
President Donald Trump (R) signed H.R. 1, known as the “One Big Beautiful Bill Act,” last week. In addition to permanently extending some tax cuts and slashing food stamp benefits, the new law aims to cut $1 trillion in Medicaid spending over the next 10 years by reducing aid to states, imposing work requirements on benefit recipients, tightening registration rules and more.
Federal budget analysts say that 11.8 million people across the country could lose health care coverage over the next decade as a result of the changes during that time.
While the final version of the budget reconciliation act gives states more time to implement the changes than in previous versions, advocates still fear the massive cuts to funding and changes to Medicaid eligibility will disrupt Maryland’s overall health care system.
An overarching concern for providers are the increased eligibility requirements under the law, particularly a stiffer work requirement. Any Medicaid recipient whose income exceeds the federal poverty level would have to work 80 hours a month, or 20 hours a week, in order to maintain coverage.