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State Officials Have a Report on Big Beautiful Bill's Effects on WV, but Won’t Release It

States including California and Massachusetts set spending caps to control health costs amid a federal Medicaid cut expected to increase uninsured by 10 million, officials said.

  • This year, hospitals are challenging state spending caps, citing the One Big Beautiful Bill Act; California, Massachusetts, Connecticut and five other states have set caps to rein in health costs.
  • Last year, state affordability offices launched one of the only systemwide efforts to cut health care costs, citing drivers like an aging population, rising labor costs, costly technology, and federal policy changes, Michael Bailit said.
  • A Monterey patient’s nearly $168,000 hospital bill at Community Hospital of the Monterey Peninsula highlights high prices linked to limited competition in Monterey County.
  • The California Hospital Association sued this year, arguing caps ignore hospitals' cost pressures, while only California and Oregon can penalize providers and the federal law is expected to increase uninsured Americans by 10 million.
  • Analysts warn federal changes could weaken competition, prompting service cuts or mergers, while one study estimates 338 rural hospitals face closure nationwide.
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Ohio Capital JournalOhio Capital Journal
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One Big Beautiful Bill Act complicates state health care affordability efforts

Medical bills are spread out on the kitchen table of a cancer patient in Salem, Va. (Photo by Don Petersen/The Associated Press)This article first appeared on KFF Health News. As Congress debates whether to extend the temporary federal subsidies that have helped millions of Americans buy health coverage, a crucial underlying reality is sometimes overlooked: Those subsidies are merely a band-aid covering the often unaffordable cost of health care…

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stateline.org broke the news in on Friday, December 26, 2025.
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