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JUNE 2025

Early June

House Republicans passed a budget resolution aimed at cutting Medicaid spending by nearly $800 billion over 10 years. The proposed budget considers reducing the Federal Medical Assistance Percentage, potentially leading to raising taxes, cutting programs, or reducing Medicaid benefits and enrollment. The Medicaid eligibility and renewal process would be increased, resulting in millions losing coverage. It would also limit states’ ability to tax health care providers to fund their portion of Medicaid costs

The Impact .. 

MEDICAID

Black and Indigenous communities are more likely to rely on Medicaid, further perpetuating barriers to quality health insurance. These communities already face obstacles accessing healthcare due to systematic barriers, especially those in rural areas, and considering they are more likely to work a job that does not offer health insurance.  
Additionally, women are more likely to be on Medicaid, which covers much of the cost associated with pre and post-natal care. This creates larger disparities for Black women, who already have high rates of maternal mortality and limited access to quality medical resources and health insurance. 
Medicaid not only serves as a health provider but also acts as a buffer against the inequities faced by these communities.

NOTE: The following data is based on 2023 data from the Annual Social and Economic Supplement (ASEC). Current data is unavailable, as the Trump administration has intentionally removed demographic data from government websites, as they aim to remove facts from the hands of Americans and rewrite history in their favor. Available data is extremely limited.


39.6%

White 

58% 

of the US population

30.8%

Hispanic

19.7% 

of the US population

20.8%

Black Americans

13.5% 

of the US population

6%

Asian American

6.6% 

of the US population

Post-ACA Medicaid expansion led to increased enrollment among Black individuals, highlighting the program's importance for their healthcare access. Historical systemic inequalities and lower economic opportunities have made Medicaid crucial for marginalized communities, where higher chronic illness rates heighten the need for healthcare services.

Native American communities heavily depend on Medicaid, with about 1 in 3 American Indians and Alaska Natives eligible for the program or CHIP. This dependence is due to systemic issues like geographic isolation, low income, and the effects of historical trauma. The Indian Health Service (IHS) is underfunded and overwhelmed, making Medicaid crucial in addressing health disparities. 

REPRODUCTIVE HEALTHCARE


Black and Indigenous women who are pregnant are already at a disadvantage. With maternal mortality rates over double those of than rates for White women, these communities face a higher risk of death without access to early intervention.

In states with abortion bans, Black mothers were over three times more likely to die during pregnancy, childbirth, or postpartum compared to White mothers in those same states.
 

 This is exacerbated in rural areas and on Tribal reservations due to disparities in access, quality, geographic isolation, and underfunded healthcare systems. At least 36 hospitals have closed due to funding cuts, many of which are in rural communities. It is estimated that 700 rural hospitals could close in the next few years, and there are only about 1,796 rural hospitals in the nation

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