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Posted
July 11, 2025

Graphic of the week: Ohio estimated to lose $37 billion in federal Medicaid funding over next decade

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The federal spending package that was signed into law last week will lead to a $37 billion reduction in federal Medicaid funds in Ohio over the next decade, KFF analysis projects.
 
Using estimates from the Congressional Budget Office, which showed that the bill would cut Medicaid by $1 trillion between 2025 and 2034, KFF projects that Ohio could receive 14% less in federal dollars for Medicaid. Every state is expected to lose funding, as illustrated above, but Ohio will lose more than all but six states, according to the analysis.
 
An analysis of the health impacts of the federal legislation by the National Academy for State Health Policy found that "The impact on state budgets will be felt most significantly by the 40 states and Washington, D.C., that have expanded Medicaid, with between 10 and 21 percent reductions in federal spending … State leaders will need to make decisions on how to account for federal funding reductions, with limited options for new dollars to make up any gaps."

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