Upcoming Medicaid Changes by State

H.R. 1, also known as the One Big Beautiful Bill Act, made significant changes to Medicaid programs. These are being implemented starting in late 2026 and early 2027.

Many states have published guidelines outlining the specific state changes. We have compiled the state guidelines below and have added the Medicaid state-specific pages for further information.  

State Medicaid Changes for Fall 2026 and Early 2027

Alabama (non-expansion state)

• English: State Alabama Medicaid  
• Federal

Alaska

• State DenaliCare 
• Federal

Arkansas

• English: State Health Care
• Federal 

Arizona

• English: State Arizona Health Care Cost Containment System (AHCCCS)
• Federal

California

• English: State Medi-Cal
• Federal 

Colorado

• English: State Health First Colorado
•  Federal

Connecticut

• State Husky Health, Husky C (for aged, blind or disabled persons)
• Federal 

Delaware

• State Diamond State Health Plan (Plus)
• Federal 

District of Columbia

• District DC Medicaid
• Federal 

Florida (non-expansion state)

• State Statewide Medicaid Managed Care Program (SMMC), Managed Medical Assistance (MMA) Program, Long-term Care (LTC) Program
• Federal 

Georgia

• State Georgia Medicaid
• Federal 

Hawaii

• State Med-QUEST
• Federal 

Idaho

• State Idaho Medicaid Health Plan
• Federal 

Illinois

• State Medical Assistance Program, HealthChoice Illinois
• Federal 

Indiana

• State Hoosier Healthwise, Hoosier Care Connect, M.E.D. Works, Health Indiana Plan (HIP), Traditional Medicaid
  • HIP Work Requirements Pre-Screening Tool 
• Federal 

Iowa

• State Iowa Medicaid, IA Health Link
• Federal 

Kansas (non-expansion state)

• State Kansas Medical Assistance Program (KMAP), KanCare
• Federal 

Kentucky

• State Kentucky Medicaid
• Federal 

Louisiana

• State Louisiana Medicaid, Healthy Louisiana (formerly Bayou Health)
• Federal 

Maine

• State: Louisiana Medicaid, Healthy Louisiana (formerly Bayou Health)
  • English 
  • Spanish 
• Federal 

Maryland

• State 
• Federal 

Massachusetts

• State Medical Assistance
• Federal 

Michigan

• State Michigan Medicaid
• Federal 

Minnesota

• State Medical Assistance (MA)
• Federal 

Mississippi (non-expansion state)

• State Mississippi Coordinated Access Network (MississippiCAN)
• Federal 

Missouri

• State MO HealthNet
• Federal 

Montana

• State Montana Medicaid
• Federal 

Nebraska

• State Nebraska Medical Assistance Program (NMAP)
  • Work requirements
• Federal 

Nevada

• State Nevada Medicaid
• Federal 

New Hampshire

• State NH Medicaid, Medical Assistance
• Federal 

New Jersey

• State NJ FamilyCare
• Federal 

New Mexico

• State Turquoise Care (formerly Centennial Care)
• Federal 

New York

• State New York State Medicaid, Medicaid Managed Care
• Federal 

North Carolina

• State: NC Medicaid
  • English
  • Spanish 
• Federal 

North Dakota

• State North Dakota Medicaid
• Federal 

Ohio

• State Ohio Medicaid, MyCare Ohio (managed care program for dual eligibles)
  • Eligibility changes 
• Federal 

Oklahoma

• State SoonerCare
• Federal 

Oregon

• State Oregon Health Plan (OHP)
  • English
  • Spanish
• Federal 

Pennsylvania

• State Medical Assistance (MA)
• Federal 

Rhode Island

• State: RI Medical Assistance Program
  • English 
  • Spanish: Medicaid changes 
  • Spanish: Work requirements 
• Federal 

South Carolina (non-expansion state)

• State Healthy Connections
• Federal 

South Dakota

• State South Dakota Medicaid
• Federal 

Tennessee

• State TennCare
  • SNAP changes 
• Federal

Texas (non-expansion state)

• State STAR+PLUS
• Federal 

Utah

• State Utah Medicaid
• Federal 

Vermont

• State Green Mountain Care
• Federal 

Virginia

• State Cardinal Care
• Federal 

Washington

• State Apple Health
• Federal 

West Virginia

• State West Virginia Medicaid
  • Screening tool 
• Federal

Wisconsin

• State Forward Health
  • Screening tool 
• Federal 

Wyoming (non-expansion state)

• State Wyoming Medicaid, Equality Care
• Federal