Montgomery County health programs face threats under HR 1 affecting 46000 residents

Montgomery County officials are raising alarms over potential healthcare coverage losses for thousands of residents following discussions about proposed changes to Medicaid funding at the June 24, 2025, council session. The meeting highlighted the critical role Medicaid plays in providing healthcare to approximately 179,000 individuals in the county, including 46,000 adults who gained insurance through the Affordable Care Act.

Council members emphasized that the proposed HR 1 legislation could significantly impact these expansion adults, who are primarily aged 19 to 64. If passed, the bill would alter coverage for this group while maintaining funding for children and pregnant women. This change could leave many residents without essential healthcare services, placing additional financial burdens on the county to support those affected.

The council discussed the funding structure of Medicaid, noting that it relies on a combination of federal and state contributions, with a matching rate of approximately 90% federal to 10% state. This funding is crucial for local healthcare organizations that serve the community. The potential loss of coverage for 46,000 residents could lead to increased demand for county-funded health services, further straining local resources.

Officials underscored the importance of understanding the implications of these changes, as they prepare for the potential fallout. The meeting served as a call to action for community members and stakeholders to advocate for the preservation of Medicaid benefits, ensuring that vulnerable populations continue to receive necessary healthcare support. As discussions continue, the county remains focused on mitigating the impacts of federal policy changes on local health services.