Madison projects 6200 residents to lose Medicaid under budget reform plan

During the recent Finance Committee meeting on June 23, 2025, significant discussions centered around the potential impacts of federal budget changes on the Madison community, particularly concerning Medicaid and supplemental nutrition programs.

One of the most pressing issues raised was the expansion of work requirements under Medicaid, which could affect adults with older children. This change is expected to lead to approximately 6,200 Madison residents losing their Medicaid coverage over the next decade, primarily impacting childless adults without disabilities. This represents about 2.2% of Madison's population, raising concerns about the health and well-being of those affected.

Additionally, the committee highlighted the risks associated with reductions in supplemental nutrition assistance, with nearly 2,000 adult residents potentially losing their benefits. An estimated 4,000 residents could see some decrease in their Supplemental Nutrition Assistance Program (SNAP) benefits, which could further strain local food resources and support services.

The meeting also touched on the broader implications of federal budget decisions, including the rising federal deficit and its potential to crowd out funding for essential programs. The committee noted that while federal funds constitute a small portion of local budgets, they significantly influence state budgets, particularly through Medicaid. This ripple effect could lead to increased requests for local services as more residents seek assistance.

Looking ahead, the committee acknowledged that the Senate is working towards finalizing the federal budget by July 4, but geopolitical events may complicate this timeline. The ongoing debate includes discussions on potential cuts to reduce the deficit, which could further impact Medicaid and other vital services for families and individuals in Madison.

As these developments unfold, the Finance Committee remains focused on understanding and addressing the local implications of federal budget changes, ensuring that the needs of Madison residents are prioritized in the decision-making process.