{"id":46437,"date":"2025-09-08T09:15:40","date_gmt":"2025-09-08T09:15:40","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/in-the-fallout-from-trumps-health-funding-cuts-states-face-tough-budget-decisions\/"},"modified":"2025-09-08T09:15:40","modified_gmt":"2025-09-08T09:15:40","slug":"in-the-fallout-from-trumps-health-funding-cuts-states-face-tough-budget-decisions","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/in-the-fallout-from-trumps-health-funding-cuts-states-face-tough-budget-decisions\/","title":{"rendered":"In the fallout from Trump&#8217;s health funding cuts, states face tough budget decisions"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div id=\"\">\n<p>Patients begin lining up before dawn at <a href=\"https:\/\/www.dshs.texas.gov\/regional-local-health-operations\/border-health\/operation-border-health-obh-2025\" target=\"_blank\" rel=\"nofollow noopener\">Operation Border Health<\/a>, an annual five-day health clinic in Texas&#8217; Rio Grande Valley. Many residents in this predominantly <a href=\"https:\/\/www.rgvhealthconnect.org\/demographicdata?id=281259&amp;sectionId=941\" target=\"_blank\" rel=\"nofollow noopener\">Latino and Hispanic region<\/a> spanning the Mexican border lack insurance, making the health fair a major source of free medical care in South Texas for more than 25 years.<\/p>\n<p>Until this year. The Trump administration&#8217;s plan to strip <a href=\"https:\/\/www.texastribune.org\/2025\/06\/12\/texas-dshs-public-health-funding-cuts\/\" target=\"_blank\" rel=\"nofollow noopener\">more than $550 million<\/a> in federal public health and pandemic funds from Texas helped prompt <a href=\"https:\/\/www.facebook.com\/HidalgoCountyTexas\/posts\/news-release-the-hidalgo-county-health-and-human-services-department-announced-t\/1155185403320155\/\" target=\"_blank\" rel=\"nofollow noopener\">cancellation of the event<\/a> just before its scheduled July 21 start.\u00a0<\/p>\n<p>&#8220;Some people come every year and rely on it,&#8221; said Hidalgo County Health and Human Services Director Dairen Sarmiento Rangel. &#8220;Some people even camp out outside of Border Health so they can be the first in line to receive services. This event is very important to our community.&#8221;<\/p>\n<p>States and local governments have made painful program cuts in the wake of <a href=\"https:\/\/kffhealthnews.org\/news\/article\/health-care-spending-cuts-research-trump-administration-tariffs-public-health\/\" target=\"_blank\" rel=\"nofollow noopener\">major reductions<\/a> in federal health funding that have already taken effect. Now, they&#8217;re sizing up the <a href=\"https:\/\/kffhealthnews.org\/news\/article\/medicaid-expansion-holdout-states-unrewarded-trump-health-policy\/\" target=\"_blank\" rel=\"nofollow noopener\">financial hits<\/a> to come \u2014 some not until late next year or beyond \u2014 from the <span class=\"link\"><a href=\"https:\/\/www.cbsnews.com\/news\/whats-in-trump-big-beautiful-bill-senate-version\/\" target=\"_blank\" data-invalid-url-rewritten-http=\"\">&#8220;One Big Beautiful Bill Act,&#8221;<\/a><\/span> the tax and spending law congressional Republicans passed in July that enacts much of President Trump&#8217;s domestic agenda.\u00a0<\/p>\n<p>Texas, for instance, expects to see its <span class=\"link\"><a href=\"https:\/\/www.cbsnews.com\/news\/trump-budget-bill-medicaid-health-insurance\/\" target=\"_blank\" data-invalid-url-rewritten-http=\"\">federal Medicaid funds<\/a><\/span> reduced by as much as <a href=\"https:\/\/www.kff.org\/medicaid\/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package\/\" target=\"_blank\" rel=\"nofollow noopener\">$39 billion<\/a>\u00a0over 10 years due to new barriers for enrollment, such as more frequent eligibility checks, according to a July analysis by KFF.\u00a0<\/p>\n<p>Taken together, the reductions amount to a seismic shift in how state health programs are provided and paid for. The administration is, in effect, pushing a significant amount of health costs to states. That will force their leaders to make difficult choices, as many state budgets are already strained by declining tax revenues, a slowdown in federal pandemic spending, and economic uncertainty.<\/p>\n<p>Revenue forecasters <a href=\"https:\/\/budgetblog.nasbo.org\/budgetblogs\/blogs\/brian-sigritz\/2025\/05\/06\/states-revenue-forecasts-mostly-revised-down-over\" target=\"_blank\" rel=\"nofollow noopener\">in more than a dozen states<\/a> have lowered expectations for the coming year, according to a <a href=\"https:\/\/www.pew.org\/en\/research-and-analysis\/articles\/2025\/06\/16\/most-states-tax-revenue-falls-below-long-term-trends-amid-federal-uncertainties\" target=\"_blank\" rel=\"nofollow noopener\">June report by Pew<\/a>.<\/p>\n<p>&#8220;It&#8217;s almost inevitable that states will enact a number of cuts to health services because of the fiscal pressure,&#8221; said Wesley Tharpe, senior adviser for state tax policy at the left-leaning <a href=\"https:\/\/www.cbpp.org\/about\/our-staff\/wesley-tharpe\" target=\"_blank\" rel=\"nofollow noopener\">Center on Budget and Policy Priorities<\/a>.<\/p>\n<p>Some are proactively trying to stanch the impact.<\/p>\n<p>Hawaii lawmakers are looking to aid nonprofits that are already contending with federal funding cuts. They&#8217;re <a href=\"https:\/\/data.capitol.hawaii.gov\/sessions\/session2025\/bills\/SB933_CD1_.HTM#:~:text=The%20purpose%20of%20this%20Act,fiscal%20year%202025-2026%2C%20and\" target=\"_blank\" rel=\"nofollow noopener\">doling out $50 million<\/a> in grants to health, social service, and other nonprofits hit by federal funding cuts. To get the money, nonprofits must show a termination or drop in funding, or that they have otherwise been harmed by the cuts.\u00a0<\/p>\n<p>&#8220;It is not fair that organizations dedicated to supporting the people of Hawaii are being forced to scale back due to federal funding cuts,&#8221; Democratic Gov. Josh Green <a href=\"https:\/\/governor.hawaii.gov\/newsroom\/office-of-the-governor-news-release-gov-green-signs-bills-to-tackle-housing-bottlenecks-and-fund-nonprofits\/\" target=\"_blank\" rel=\"nofollow noopener\">said in a statement<\/a>.\u00a0<\/p>\n<p>Other states are scaling back projects to contend with cuts. Delaware Gov. Matt Meyer, a Democrat, received notice in March that the Trump administration was <a href=\"https:\/\/news.delaware.gov\/2025\/04\/02\/delaware-prepares-for-unprecedented-unexpected-federal-cuts-to-public-health-services\/\" target=\"_blank\" rel=\"nofollow noopener\">cutting $38 million<\/a> in public health funding from the state. The next month, state legislative leaders halted a planned project to upgrade and expand the Capitol complex as a result.<\/p>\n<p>&#8220;We recognized that the reckless federal cuts to the social safety nets of thousands of Delawareans called for us to hold back resources to protect our most vulnerable,&#8221; said <a href=\"https:\/\/senatedems.delaware.gov\/members\/senate-district-8\/\" target=\"_blank\" rel=\"nofollow noopener\">David Sokola<\/a>, president pro tempore of the Delaware Senate.<\/p>\n<p>In New Mexico, the state with the <a href=\"https:\/\/www.kff.org\/state-health-policy-data\/state-indicator\/total-population\/?currentTimeframe=0&amp;sortModel=%7B%22colId%22:%22Medicaid%22,%22sort%22:%22desc%22%7D\" target=\"_blank\" rel=\"nofollow noopener\">highest percentage of residents enrolled in Medicaid<\/a>, a bipartisan group of lawmakers voted to create a trust fund to boost funding for the program. About 10% of the more than <a href=\"https:\/\/sourcenm.com\/2025\/07\/02\/nm-lawmakers-presented-with-tough-choices-amid-federal-cuts-to-medicaid-snap\/\" target=\"_blank\" rel=\"nofollow noopener\">800,000 state residents<\/a> covered by Medicaid and the related Children&#8217;s Health Insurance Program could lose their health coverage under the federal spending law, based on <a href=\"https:\/\/www.hca.nm.gov\/2025\/07\/07\/dont-gamble-with-medicaid-rural-new-mexico-cant-afford-newly-passed-funding-cuts\/\" target=\"_blank\" rel=\"nofollow noopener\">some estimates<\/a>.<\/p>\n<p>Some state leaders are warning constituents that the worst may be yet to come. \u00a0<\/p>\n<p>At an Aug. 18 event at a hospital in the South Bronx section of New York City, New York Gov. Kathy Hochul, a Democrat, stood on stage among health care workers in white coats to skewer Trump&#8217;s new law.<\/p>\n<p>&#8220;What Republicans in Washington have done through the &#8216;Big Ugliest Bill&#8217; I&#8217;ve ever seen is literally screwing New Yorkers,&#8221; she said. The state&#8217;s health system is bracing for <a href=\"https:\/\/www.governor.ny.gov\/news\/governor-hochul-joins-us-representative-ritchie-torres-warn-crippling-effects-republicans-big\" target=\"_blank\" rel=\"nofollow noopener\">nearly $13 billion<\/a> in annual cuts.<\/p>\n<p>And in California, lawmakers weighed the impact of the coming cuts from the federal law at a general assembly <a href=\"https:\/\/www.assembly.ca.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">committee hearing on Aug. 20<\/a>, where some Democratic legislators said state efforts to protect reproductive health services and other programs were in jeopardy.\u00a0<\/p>\n<p>&#8220;We&#8217;ve been bracing for this reality: President Trump&#8217;s so-called &#8216;Big, Beautiful Bill&#8217; is now law,&#8221; Democratic lawmaker Gregg Hart said at the hearing, calling it a &#8220;direct assault on California&#8217;s core programs and our values.&#8221;<\/p>\n<p>&#8220;Sadly, the reality is, the state does not have the capacity to backfill all of these draconian federal funding cuts in the current budget,&#8221; Hart said. &#8220;We cannot simply write a check and make this go away.&#8221;<\/p>\n<p><a href=\"https:\/\/kffhealthnews.org\/news\/article\/one-big-beautiful-bill-medicaid-work-requirements-affordable-care-act-immigrants\/\" target=\"_blank\" rel=\"nofollow noopener\">The sweeping budget law<\/a>, which passed without any Democratic support, will reduce federal spending on Medicaid by about <a href=\"https:\/\/www.kff.org\/medicaid\/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package\/\" target=\"_blank\" rel=\"nofollow noopener\">$1 trillion<\/a> over the next decade, based on estimates from the <a href=\"https:\/\/www.cbo.gov\/publication\/61570\" target=\"_blank\" rel=\"nofollow noopener\">Congressional Budget Office<\/a>. The spending reductions largely come from the imposition of a <a href=\"https:\/\/www.urban.org\/urban-wire\/medicaid-cuts-one-big-beautiful-bill-act-leave-3-10-young-adults-vulnerable-losing\" target=\"_blank\" rel=\"nofollow noopener\">work requirement<\/a> on people who&#8217;ve obtained Medicaid under the Affordable Care Act&#8217;s expansion, as well as other new barriers to coverage.<\/p>\n<p>The law will mean more than 7.5 million people will lose Medicaid coverage and become uninsured, according to the Congressional Budget Office, while extending tax cuts for wealthy people who, Democrats say, don&#8217;t need them. Republicans and Trump have said the spending package and its accompanying program cuts were necessary to prevent fraud and waste, and to sustain Medicaid, a state-federal program for people with disabilities and lower incomes.<\/p>\n<p>&#8220;The One Big Beautiful Bill removes illegal aliens, enforces work requirements, and protects Medicaid for the truly vulnerable,&#8221; the White House said in a <a href=\"https:\/\/www.whitehouse.gov\/articles\/2025\/06\/myth-vs-fact-the-one-big-beautiful-bill\/\" target=\"_blank\" rel=\"nofollow noopener\">June 29 statement<\/a>.\u00a0<\/p>\n<p>The Medicaid cuts won&#8217;t begin until after the midterm elections in November 2026, but other cuts have already hit.\u00a0<\/p>\n<p>The Trump administration has sought to claw back <span class=\"link\"><a href=\"https:\/\/www.cbsnews.com\/news\/trump-administration-lawsuit-hhs-cuts-public-health-funding\/\" target=\"_blank\" data-invalid-url-rewritten-http=\"\">$11 billion in federal public health funds<\/a><\/span> earmarked to states because of the pandemic, spurring a <a href=\"https:\/\/oag.ca.gov\/news\/press-releases\/attorney-general-bonta-secures-preliminary-injunction-trump-administration#:~:text=Permits%20&amp;%20Registrations-,Attorney%20General%20Bonta%20Secures%20Preliminary%20Injunction%20in%20Trump%20Administration%20Lawsuit,%2C%E2%80%9D%20said%20Attorney%20General%20Bonta.\" target=\"_blank\" rel=\"nofollow noopener\">legal fight<\/a>\u00a0with a coalition of Democratic-led states. It also <a href=\"https:\/\/www.npr.org\/2025\/05\/01\/nx-s1-5382582\/trump-school-mental-health\" target=\"_blank\" rel=\"nofollow noopener\">cut about $1 billion<\/a> in <a href=\"https:\/\/www.fox13seattle.com\/news\/wa-ag-browns-education-mental-health\" target=\"_blank\" rel=\"nofollow noopener\">federal grants<\/a> for mental health services in schools, and halted <span class=\"link\"><a href=\"https:\/\/www.cbsnews.com\/news\/trump-administration-asks-supreme-court-cut-nih-grants\/\" target=\"_blank\" data-invalid-url-rewritten-http=\"\">grants from the National Institutes of Health<\/a><\/span> that provided money to more than <a href=\"https:\/\/kffhealthnews.org\/news\/article\/nih-grant-cuts-red-states-science-research-vaccines-hiv-trump-rfk\/\" target=\"_blank\" rel=\"nofollow noopener\">90 public universities<\/a>.<\/p>\n<p>HHS press secretary Emily Hilliard said the agency is prioritizing investments that advance Mr. Trump&#8217;s mandate to confront chronic disease. She defended some of the cuts and said, erroneously, that the spending law doesn&#8217;t cut Medicaid.<\/p>\n<p>&#8220;The COVID-19 pandemic is over, and HHS will no longer waste billions of taxpayer dollars responding to a crisis that Americans moved on from years ago,&#8221; she said.\u00a0<\/p>\n<p>State leaders say the pandemic funding the administration wants returned was earmarked for other public health measures, such as tracking emerging diseases, outbreak responses, and staffing. State attorneys general in May won a <a href=\"https:\/\/www.fiercehealthcare.com\/regulatory\/cdc-doge-claws-back-covid-19-grants-headed-states\" target=\"_blank\" rel=\"nofollow noopener\">temporary restraining order<\/a> against the administration.<\/p>\n<p>&#8220;What we&#8217;re seeing now is states anticipating big cuts in Medicaid coming, but they&#8217;re also dealing with a whole variety of federal cutbacks in public health programs that are smaller but still quite meaningful,&#8221; said <a href=\"https:\/\/www.kff.org\/person\/larry-levitt\/\" target=\"_blank\" rel=\"nofollow noopener\">Larry Levitt<\/a>, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News.<\/p>\n<p>Part of the challenge for states is simply understanding the changes.\u00a0<\/p>\n<p>&#8220;I think it&#8217;s fair to say there is concern, confusion, and uncertainty,&#8221; said Kathryn Costanza, a Medicaid expert at the National Conference of State Legislatures.\u00a0<\/p>\n<p>States are struggling to sort it all out, forming <a href=\"https:\/\/eohhs.ri.gov\/initiatives\/federal-compliance-advisory-group\" target=\"_blank\" rel=\"nofollow noopener\">advisory groups<\/a> that are <a href=\"https:\/\/www.publicnewsservice.org\/2025-06-23\/health\/kentuckys-new-medicaid-oversight-and-advisory-board-convenes\/a97348-1\" target=\"_blank\" rel=\"nofollow noopener\">tracking federal changes<\/a>, suing to try to block the cuts, and reallocating funding.<\/p>\n<p>In Colorado, lawmakers <a href=\"https:\/\/coloradonewsline.com\/briefs\/colorado-legislature-passes-bill-to-fund-medicaid-reimbursements-for-planned-parenthood\/\" target=\"_blank\" rel=\"nofollow noopener\">passed a bill<\/a> to let state Medicaid dollars pay for non-abortion care at Planned Parenthood of America clinics after Mr. Trump&#8217;s law banned federal funding for such care. Whether the ban holds up in court <a href=\"https:\/\/www.newsfromthestates.com\/article\/judge-planned-parenthood-clinics-can-remain-medicaid-providers-while-lawsuit-continues\" target=\"_blank\" rel=\"nofollow noopener\">remains to be seen<\/a>.\u00a0<\/p>\n<p>The Louisiana Legislature <a href=\"https:\/\/lailluminator.com\/briefs\/louisiana-provides-7-5-million-for-research-to-replace-federal-government-losses\/\" target=\"_blank\" rel=\"nofollow noopener\">sent $7.5 million<\/a> to state universities to make up for cuts to federal research funding, much of which goes to health-related research.\u00a0<\/p>\n<p>And in South Dakota, the state&#8217;s largest food bank has <a href=\"https:\/\/southdakotasearchlight.com\/2025\/07\/27\/feeding-south-dakota-requests-3-million-from-legislature-to-fill-federal-loss\/\" target=\"_blank\" rel=\"nofollow noopener\">asked lawmakers to spend $3 million<\/a> to make up for funding cuts to the U.S. Department of Agriculture.<\/p>\n<p>States must balance their budgets every year, so cuts put many services at risk if state lawmakers are unwilling to raise taxes. The work will begin in earnest in January, when many states begin new legislative sessions.\u00a0<\/p>\n<p>And the tough choices are likely to continue. Congressional House Republicans are considering legislation that could <a href=\"https:\/\/www.politico.com\/live-updates\/2025\/07\/08\/congress\/ron-johnson-believes-he-will-get-second-bite-of-the-apple-on-medicaid-cuts-00443331\" target=\"_blank\" rel=\"nofollow noopener\">bring more cuts<\/a>, including by slashing the generous cost sharing the federal government provides for 20 million adults who enrolled in Medicaid under the ACA&#8217;s Medicaid expansion.<\/p>\n<p>Some states will roll back their Medicaid expansions and cut more health programs as a result.\u00a0<\/p>\n<p><a href=\"https:\/\/kffhealthnews.org\/about-us\/\" target=\"_blank\" rel=\"nofollow noopener\"><em>KFF Health News<\/em><\/a><em> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at<\/em><a href=\"https:\/\/www.kff.org\/about-us\/\" target=\"_blank\" rel=\"nofollow noopener\"><em> KFF<\/em><\/a><em> \u2014 the independent source for health policy research, polling, and journalism.<\/em><\/p>\n<p>    <!-- data-recirc-source=\"queryly\" --><\/p>\n<aside class=\"component list recirculation component--type-recirculation \">\n        <\/aside>\n<p>    <!-- tags --><\/p><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.cbsnews.com\/news\/trump-health-funding-cuts-state-budget-decisions\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Patients begin lining up before dawn at Operation Border Health, an annual five-day health clinic in Texas&#8217; Rio Grande Valley.<\/p>\n","protected":false},"author":1,"featured_media":46438,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[994,386],"class_list":["post-46437","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-politics","tag-health-care","tag-trump-administration"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>In the fallout from Trump&#039;s health funding cuts, states face tough budget decisions - World News<\/title>\n<meta name=\"description\" content=\"The Trump administration has pushed a significant amount of health costs to states, whose budgets may already be strained by declining state tax revenues, a slowdown in pandemic spending, and economic uncertainty.\" \/>\n<meta name=\"robots\" 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