There is a target to reduce Medicaid recipients by 4.8 million by 2033, by requiring them to attend school or volunteer 80 hours per month. That's a lot.
https://www.nola.com/news/politics/impact-on-louisiana-of-me...
In the next four years, nearly every state that has huge Medicaid obligations will be forced to restrict and reduce access simply due to budget constraints.
For example, California has 6.6 million enrolled in Medicaid and requires a staggering $85 billion federal assistance annual infusion for Medicaid. "People with disabilities composed 8% of Medi-Cal enrollees and accounted for 31% of spending".
California has 49% of the population on employer-provided health insurance. Only 5% purchase private insurance (Affordable Care Act). However, 22% of Californians are covered by Medicaid. That number is unsustainable, and Governor Newsom is already enacting measures to reduce enrollment and eligibility.
https://calmatters.org/health/2025/05/medicaid-work-requirem...
https://www.chcf.org/wp-content/uploads/2024/06/MediCalFacts...
https://calmatters.org/health/2025/05/medi-cal-assets-newsom...