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Staff brief: proposed 'One Big Beautiful Bill' and recent federal rescissions could trim hundreds of millions from state programs
Summary
Legislative Council analysts outlined potential reductions to Medicaid and SNAP in pending federal legislation and summarized recent federal grant rescissions that have already cost North Dakota roughly $100 million in realized and unliquidated federal funds.
Legislative Council fiscal staff told Legislative Management that changes under consideration in Congress could sharply reduce federal aid to North Dakota programs, and that federal rescissions and expirations have already cost the state nearly $100 million in recent months.
Grant Gaither, legislative council fiscal analyst, reviewed the “One Big Beautiful Bill Act” as passed by the U.S. House and being worked in the Senate, describing provisions that would reduce Medicaid spending nationally by an estimated $793 billion over a decade. Gaither said North Dakota’s portion could amount to roughly $1.4 billion over ten years—about a 12% reduction of projected federal Medicaid…
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