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Maryland health officials say HR 1 could shrink Medicaid rolls and cost the state if it backfills federal cuts
Summary
Maryland Department of Health officials told the committee HR 1’s immigrant‑eligibility changes and new work and reporting requirements could put as many as 175,000 people at risk of losing Medicaid and threaten up to $2.7 billion in federal funding; agencies outlined IT, staffing and communications plans to limit churn.
Maryland Department of Health officials told a joint briefing that provisions of the federal HR 1 law could reduce Medicaid enrollment, increase administrative churn and expose the state to large financing changes unless the state takes mitigating actions.
"We are looking at potentially $2,700,000,000 in annual federal funding lost to Maryland," Perry Briskin, Medicaid director at the Maryland Department of Health, said during his presentation, describing the provisions as phasing in through 2030.
Briskin and MHPE representatives outlined three principal eligibility impacts: immigrant eligibility limits, community‑engagement (work) requirements and shortened redetermination and retroactive coverage windows. MDH estimated that immigrant eligibility changes could affect about 60,000 lawfully…
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