Trump's spending bill cuts Medicaid: Here's what it's called in your state

President Trump's signature tax and spending legislation, the "big beautiful bill," is now law, and that means cuts to Medicaid spending.The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes, likely forcing states to make corresponding reductions to their programs or to pick up a greater share of obligations.Medicaid work requirements, which account for many of the nearly 12 million people projected to lose coverage under the bill, generally won't kick in until 2027 — and some states could get extensions, Axios' Maya Goldman reports.Because states have varying names for their Medicaid programs, experts say Americans may not realize the cuts and work rules apply to them. So there could be a surprise factor when the changes finally come.Zoom in: Medicaid is administered by states using a combination of federal and state funds. Each program has its own name.The percentage of costs paid by the federal government, known as the FMAP, varies by state. States have to cover certain core benefits and they may get federal funds for some optional services. The FMAP can also provide a higher matching rate for specific services or populations, like people covered under the ACA Medicaid expansion.By the numbers: In fiscal year 2025, the federal government paid up to 77% of Medicaid service costs in the lowest-income states, with the national average at 60%.Here's what every state calls its Medicaid program:Alabama: Alabama MedicaidAlaska: DenaliCareArizona: Arizona Health Care Cost Containment System (AHCCCS)Arkansas: Health CareCalifornia: Medi-CalColorado: Health First Colorado Connecticut: HuskyHealth (Husky A, C and D)Delaware: Diamond State Health PlanFlorida: Statewide Medicaid Managed Care Program (includes the Managed Medical Assistance Program and Long-Term Care Program)Georgia: Georgia MedicaidHawaii: Med-QUESTIdaho: Idaho MedicaidIllinois: Medical Assistance ProgramIndiana: Indiana Health Coverage Programs (including Hoosier Healthwise, Hoosier Care Connect and Health Indiana Plan)Iowa: IA Health LinkKansas: KanCare Medical Assistance ProgramKentucky: Kentucky MedicaidLouisiana: Healthy LouisianaMaine: MaineCareMaryland: Medical AssistanceMassachusetts: MassHealthMichigan: Medical Assistance (MA)Minnesota: Medical Assistance (MA)Mississippi: Mississippi Coordinated Access Network (MississippiCAN)Missouri: MO HealthNetMontana: Montana MedicaidNebraska: Nebraska Medical Assistance Program (NMAP)Nevada: Nevada Medicaid New Hampshire: NH Medicaid (Medical Assistance)New Jersey: NJ FamilyCareNew Mexico: Centennial CareNew York: Medicaid Managed CareNorth Carolina: NC Medicaid, Division of Health Benefits (DHB)North Dakota: North Dakota Medicaid, North Dakota Medicaid Expansion ProgramOhio: Ohio MedicaidOklahoma: SoonerCareOregon: Oregon Health Plan (OHP)Pennsylvania: Medical Assistance (MA)Rhode Island: RI Medical Assistance Program, Affordable Care Coverage, Katie Beckett, Medicaid for Elders and Adults with Disabilities and SherlockSouth Carolina: Healthy Connections MedicaidSouth Dakota: South Dakota Medical Assistance ProgramTennessee: TennCare MedicaidTexas: STAR (State of Texas Access Reform)Utah: Utah MedicaidVermont: Green Mountain Care, Dr. DynasaurVirginia: Cardinal CareWashington: Apple HealthWashington, D.C.: DC Medicaid, Healthy Families West Virginia: West Virginia Medicaid ProgramWisconsin: Wisconsin Medicaid, Forward Health, BadgerCare, Medical AssistanceWyoming: Wyoming Medicaid, Equality CarePuerto Rico: Plan VitalGo deeper: Trump bill's health effects won't be felt until after midterms

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