Medicaid may see major shifts as the 119th Congress and the Trump administration consider reforms in three areas: repealing Biden-era regulations, modifying waivers, and capping federal spending. One in five people living in the United States receives healthcare coverage through Medicaid. Any changes in Medicaid will have an effect on physicians and patients nationwide.  

Key Changes Under Consideration:  

• Repealing Biden-Era Regulations: Possible rollbacks include long-term care staffing standards and Medicaid eligibility expansions, potentially resulting in billions of dollars in savings.  
• Waiver Modifications: The Trump administration may reinstate Medicaid work requirements, reassess Biden-era waivers, and tighten spending criteria, impacting coverage access.  
• Capping Federal Spending: Proposals include reducing federal Medicaid contributions, setting per capita caps, and introducing block grants, which could shift financial burdens to states. 

What’s Next? 

Although it is unclear at this point what the changes to Medicaid may be, Medicaid is on the list for review and reduction in spending. We’ll continue monitoring developments to keep you informed.  

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