Potential ramifications from federal H.R.1 for the Medicaid program

By Cari Guthrie

The Maryland Department of Health is currently reviewing the potential impacts of federal legislation H.R.1 on the state’s Medicaid program. While no immediate changes are happening, several provisions of the bill—expected to roll out over the next few years—could significantly impact both the individuals we serve and our organization’s operations.

Here are the key takeaways:

Maryland Medicaid at a Glance

  • Covers 1.5 million people — 25% of the state’s population.
  • Supports nearly half of all children and 40% of all births in Maryland.
  • 175,000 people may lose coverage under the new law.
  • Maryland could lose up to $2.7 billion in federal funding annually.
  • There will be implementation costs for the state as it adjusts systems to comply.

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