[{"_1":2,"_98":-5,"_99":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,74,86],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":44,"_46":47,"_48":49,"_50":51,"_52":53,"_54":55,"_56":57,"_58":59,"_60":61,"_62":63,"_64":65,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},"mediaId",6515258,"mediaKeyId","5019066-2bb1102dcacb6022c9f60f947d30aa89","parentId",5019066,"title","University of Maryland expert outlines federal budget choices that could shrink public-health grants and reorganize agencies","audioSeconds",0,"startMs",4474000,"endMs","viewUrl","/Search/View?dp=1&key=5019066-2bb1102dcacb6022c9f60f947d30aa89&start=4474&end=4474","thumbnailUrl","https://assets.pipeline.soar.com/5019066-2bb1102dcacb6022c9f60f947d30aa89/thumbnail_4474000.jpg","articleUrl","/articles/6515258/Prince-Georges-County/Maryland/University-of-Maryland-expert-outlines-federal-budget-choices-that-could-shrink-public-health-grants-and-reorganize-agencies","mediaUrl","https://secure.pipeline.soar.com/6515258-c5b9b810e8dfa0ee8efc2e371cc3bbe7/orig.mp4?Expires=1771173410&Signature=moDutyRMzbYMKx1Ks-rBsWBknP6ZBvqsWgEpifLZS9QHkK8r3CvpAZd~bpn3gGtbk3kyCal4Ufnngz~r3I51ZXnErZzfm3v-vNZfw7pY5oczpx~VFYo8sECJU9OUfvmOFbFvTzIlPiTgQHKxx53-FYsOTq5qL40VWWpCzOI6URRu1xCeIAkgy-4R63~hfKAxDQhX4bLhJjXhqjgTb~TKmz7MYwjIzakYN4p46w1o5Sbrlmv8q5yA7G1oo-MKL5xI-azQOy18gt7XvG2g3P1cqAkSMFpXIvQsyMGgxcW1CmyyVT0lCq-SSxbCWEIk2cjfXBG~d5HL5dyEr0e2AbZjPQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Prince George","date","2025-06-17T00:00:00Z","article","A University of Maryland faculty member and former state health official told the Prince George's County Board of Health that proposed federal budget and reorganization plans would target many smaller public-health grants and could shift costs to state and local governments.

Dr. William Levy said on June 17 that the administration's proposal includes program eliminations, consolidations (including a proposed new \"Administration for Healthy America\" to move certain programs out of HRSA and CDC) and criteria that would de-prioritize funding for programs the administration says could be funded at state or local levels. \"No matter what happens and what this administration proposes to do and how successful they may or may not be, we have a deficit problem,\" Levy said, adding that the structure of mandatory spending limits the federal government's discretionary ability to absorb cuts.

Why it matters: Levy told the board that many of the small line-item grants that counties and community organizations rely on were specifically enumerated in federal proposals; eliminating or consolidating them could remove targeted supports for minority health, maternal and child health programs, and community-based HIV services. He cautioned that even when large programs remain, the loss of smaller line items would reduce locally tailored funding streams.

Details from the presentation: Levy showed that the federal budget's share of mandatory spending has grown over decades and that many health and social programs are politically difficult to change. He listed four criteria he interpreted from the administration's proposals for selecting reductions: shifting programs to state/local responsibility, removing targeted support for special populations, folding duplicate programs together and eliminating services the administration does not prioritize (Levy cited family planning as an example). Levy also noted that the complexity of federal line items — dozens within CDC, HRSA and SAMHSA — makes predicting local impacts difficult until final appropriations occur.

Board response: Council members thanked Levy and asked for follow-up briefings; Levy said local health programs should prepare for budgetary pressure and consider where to prioritize limited resources.

","mediaType","Video","parentTitle","Prince George - Board of Health - Jun 17, 2025","oneSentenceSummary","William Levy (University of Maryland) told the Prince George's County Board of Health that federal proposals include program eliminations, consolidations and criteria that prioritize state/local responsibility — shifts that could place pressure on smaller public-health grants used locally.","taxTitle","Prince George's County, Maryland","taxId",3378,"location","headline","","shortSummary",{"_33":75,"_35":36,"_37":38,"_39":76,"_41":77,"_43":78,"_45":79,"_46":80,"_48":81,"_50":82,"_52":83,"_54":55,"_56":57,"_58":84,"_60":61,"_62":63,"_64":85,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},6515260,"Local HIV service provider warns Medicaid cuts could disrupt PrEP and testing services in Prince George's County",1062,630000,1692000,"/Search/View?dp=1&key=5019066-2bb1102dcacb6022c9f60f947d30aa89&start=630&end=1692","https://assets.pipeline.soar.com/5019066-2bb1102dcacb6022c9f60f947d30aa89/thumbnail_630000.jpg","/articles/6515260/Prince-Georges-County/Maryland/Local-HIV-service-provider-warns-Medicaid-cuts-could-disrupt-PrEP-and-testing-services-in-Prince-Georges-County","https://secure.pipeline.soar.com/6515260-86e813960ae487f9d6a6a050daac80c9/orig.mp4?Expires=1771173410&Signature=L4NvjJDk08Ae07e7Hqdff6-NqKqZ2jO0q~LE~YZNOKWoWMP9~ZqWcmFe-jGWcWFuYmrDKHZrhLi2vByk5aMLCJbQ~5e8K9SMV9ZRJHAXF6jztCP7lPws0BqjY5QeUOdQhRTWOq6XvKEOJI9I-0ReMinLdejHB13SNnVaZUEcu~ZYV2wTT1kWRa-eO63gX6bF81K1ng10-v1TmMgNR-V5J6tErAiaPuEK~X0KbyC07HB9VJA3~W~ug1brlSBdge1F0eJ4XM-jaBGKd6wEzIUAkGHwbOW-HgmD8s82UcOOOcwDpq47MqbYYWox8S1FvHpS0EwI07eLz-cEQcsgKX9fcg__&Key-Pair-Id=KUT5TJCACFTXG","A community-based HIV service organization told the Prince George's County Board of Health on June 17 that cuts to Medicaid and federal public-health grants could worsen already large local gaps in testing, treatment and prevention services.

Dr. DeMarco Hickson, director of Us Helping Us, described the group's four-decade history of HIV outreach and presented county-level surveillance data showing that roughly 9,000 people in the county are living with HIV and that more than a quarter of those diagnosed are not retained in care. \"Of the roughly 9,000 individuals who are living with HIV, 8,234 have been diagnosed,\" Hickson said; he also stated there are about 824 people who may be living with HIV but are undiagnosed.

Why it matters: Hickson and other presenters drew a link between limited local infrastructure and worse outcomes: countywide the presenter said there are approximately 66 hospital beds per 100,000 residents, one of the lowest reported rates, producing \"service deserts\" in the southern county and longer travel times to care. Hickson said low PrEP uptake is driven by limited provider availability, stigma and coverage gaps; he reported that of the county residents on PrEP served by Us Helping Us, all 49 receive services at the organization's Washington, D.C., office.

Recommendations and local funding proposals: Hickson urged the county to invest locally in HIV prevention and workforce development. He proposed community-led solutions and suggested a possible 1% local tax to create sustainable funding for HIV and STI prevention programs. He also urged stronger public–private partnerships and asked county leaders to prioritize maintaining Medicaid coverage for PrEP and HIV treatment because, he said, those services are currently covered by Medicaid and would be jeopardized by cuts.

Other community testimony: Daffodil Baez, president of Adventist Healthcare Fort Washington Medical Center, described hospitals' financial strain from reimbursement reductions and highlighted bed shortages in the county. Dr. Ogo Kwame of Career Haven urged leveraging providers and businesses to bridge service gaps.

Board follow-up: Council members asked about PrEP access, payment mechanisms and age breakdowns for new diagnoses. Hickson said local health-department funding to community providers is limited (he cited a combined local award of about $250,000 across several providers) and that many PrEP patients seek care outside the county for confidentiality or access reasons. The county health department representative told the board that no federal source currently pays directly for PrEP in Maryland and that local jurisdictions that offer free PrEP do so from locally allocated budget dollars.

","Us Helping Us and local clinicians told the Board of Health that Prince George's County has service gaps, low PrEP uptake and limited local funding for HIV/STI prevention; presenters urged local funding, workforce development and public–private partnerships to sustain prevention and care if federal funding falls.",{"_33":87,"_35":36,"_37":38,"_39":88,"_41":89,"_43":90,"_45":91,"_46":92,"_48":93,"_50":94,"_52":95,"_54":55,"_56":57,"_58":96,"_60":61,"_62":63,"_64":97,"_66":67,"_68":69,"_70":67,"_71":72,"_73":72},6515265,"State health officials warn Medicaid policy changes could cut coverage for tens of thousands in Prince George's County",71,2429000,2500000,"/Search/View?dp=1&key=5019066-2bb1102dcacb6022c9f60f947d30aa89&start=2429&end=2500","https://assets.pipeline.soar.com/5019066-2bb1102dcacb6022c9f60f947d30aa89/thumbnail_2429000.jpg","/articles/6515265/Prince-Georges-County/Maryland/State-health-officials-warn-Medicaid-policy-changes-could-cut-coverage-for-tens-of-thousands-in-Prince-Georges-County","https://secure.pipeline.soar.com/6515265-3ce1e7d26ea996e85105509a596ed922/orig.mp4?Expires=1771173410&Signature=gs5pg3H4OlwbRJxFjYPGRjDjIRrPZgOSi5T5~KG7tA6i6Asdq5~zIIaxhZDzv-fVvgIM3tTXIVRRNGOAxhatEFBSbDbimI-8Qk0i0IX5LUpBVADbofxvIJpNvjgS7PaFSXr3apQynXciZvXs8MXW-Yk8SApTksvELLBCmiQsV8THUkyJCmxLChOcXAW82~ggBgCyE5YntBFkhNVUGBETlZ~w4ToCntO79ZodxVADWYmmSfclb9FhSiPlamMw1buGZRp2dmIx6pma4p38obMGNhDIi83Z39sfv3zeQ43qk~5lRxL9kGx412EBwnq7j2~JCQoLiGk9nR5Cw9EOHUx~4g__&Key-Pair-Id=KUT5TJCACFTXG","Maryland Department of Health officials told the Prince George's County Board of Health on Tuesday that proposed federal changes to Medicaid could cause substantial coverage losses and a multimillion-dollar reduction in federal funding that supports state and local health services.

The warning came during a June 17 briefing led by Dr. Ryan Moran of the Maryland Department of Health, who said the plans in House and Senate reconciliation texts would add monthly verification and work requirements for people covered through the Affordable Care Act expansion and increase how often the state must recertify eligibility. \"Work requirements are nothing but red tape,\" Moran said, arguing the provisions would drive people off coverage and disrupt care.

Why it matters: Prince George's County relies on Medicaid funding for hospitals, behavioral health care, long-term care and maternal services. Moran told the board that about 27% of county residents are enrolled in Medicaid and roughly 60,000 are covered through the Affordable Care Act expansion. He said the state estimates that more than 56,000 adults could lose coverage under work requirements and that more frequent eligibility checks could cause churn affecting roughly 130,000 additional Maryland residents. Moran said those shifts could cost Maryland hundreds of millions of federal dollars and create broader economic impacts because Medicaid reimbursements finance thousands of local health-sector jobs.

Details from the presentation: Moran described several provisions appearing in the congressional texts: (1) work requirements for expansion adults (examples in draft text reference about 80 hours per month); (2) more frequent eligibility verifications (from annual to potentially every six months for some populations); (3) limits on states' ability to use provider taxes and assessments to draw federal matching dollars; and (4) penalties tied to state decisions to fund coverage for undocumented immigrants (he cited the 2023 Healthy Babies Equity Act as an example of state policy that could face federal penalties under the proposals). Moran said the proposals remain fluid as House and Senate negotiators reconcile differences, and he noted the White House goal of final congressional action before July 4.

Board reaction and questions: Council members pressed Moran on likely dollar impacts and administrative readiness. When asked what the state could lose, Moran said statewide losses could be in the range of $1 billion to $2 billion depending on the final legislation; he estimated that Maryland could forfeit about $300 million in federal funds tied to the expansion population in a scenario in which tens of thousands of people lose coverage. Moran said the state is exploring technology and process options to limit churn but cautioned the implementation cost would be high and that limited federal transition funding (he cited roughly $100 million nationally in one draft) would not be sufficient to cover full implementation costs for all states.

Context and background: Moran described Medicaid as a joint federal–state program that covers roughly 1.5 million Marylanders (about 25% of the state) and as the largest payer for long-term care and mental-health services. He emphasized that federal matching dollars finance most Medicaid spending, noting the 90% federal match for Affordable Care Act expansion adults and the potential fiscal ripple effects if those matches are reduced or conditioned.

Next steps: Moran and state staff offered to return with ongoing briefings as federal language changes. The board closed the session shortly after the presentations.

","Maryland Department of Health officials told the Prince George's County Board of Health that congressional reconciliation language under consideration could remove coverage from thousands of residents, reduce federal matching funds and add substantial administrative burdens if work and eligibility-verification requirements are adopted.","actionData","errors"]

Article not found

University of Maryland expert outlines federal budget choices that could shrink public-health grants and reorganize agencies

Local HIV service provider warns Medicaid cuts could disrupt PrEP and testing services in Prince George's County

State health officials warn Medicaid policy changes could cut coverage for tens of thousands in Prince George's County