Overview

• States are preparing to implement 80-hour monthly community engagement requirements, semiannual eligibility redeterminations and reduced FMAP payments under the new law
• Health officials in Santa Cruz County estimate about 37,000 residents could lose Medicaid or ACA coverage, raising concerns over rural hospital closures
• Critics say the law finances $4 trillion in tax breaks with $3.8 trillion in new debt and $3.4 trillion in deficits and reduces Medicaid services by more than $1 trillion
• The Congressional Budget Office projects nearly 12 million additional uninsured by 2034, including 1.4 million non-citizens excluded under tighter eligibility rules
• Democrats are holding town halls in North Carolina to spotlight a potential $26 billion to $32 billion state budget shortfall and mobilize opposition before the midterms