Sen. Collins 'Concerned' About Medicaid Provision in Budget Bill
- The House passed a budget bill in May 2025 in Washington, D.C., that includes provisions to cap provider taxes affecting Medicaid funding nationwide.
- The bill seeks to cut Medicaid funding from the federal government by $625 billion over the next decade through measures like implementing work mandates and suspending provider taxes, though experts caution about potential negative impacts on healthcare access.
- Provider taxes, used by 49 states including California, allow states to receive federal matching funds disproportionately, which critics label an accounting tactic that shifts costs to taxpayers.
- Senator Susan Collins expressed careful concern over the Medicaid changes, emphasizing potential impacts on children, people with disabilities, seniors, and low-income families, and noted the bill kept changing until the last moment.
- If passed, the bill may compel states to increase taxes, decrease benefits, or shrink their Medicaid enrollment, risking the loss of coverage for over 8 million individuals and posing a challenge to the program’s foundational goals.
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30 Articles
Remove Budget Provisions That Harm Hospitals; Collaborate To Protect Patient Care
Guest columnist Jennifer Jackson, CEO of the Connecticut Hospital Association, urges the governor and General Assembly not to increase taxes on hospitals or slash payments to providers who serve the state’s most vulnerable patients. Instead, she says begin to develop immediately a plan to address the future of the hospital tax and Medicaid rates.

Republicans target a tax that keeps state Medicaid programs running
The tax and spending bill the U.S. House approved last week targets a strategy states have used to boost the Medicaid dollars they get from the federal government. The measure would cap or freeze the taxes states levy on medical providers, potentially leaving states with major holes in their Medicaid budgets. As a result, states would face the choice of either replacing the lost federal money with state dollars, scaling back services or providin…
Hospitals flag pressure points in "big, beautiful" U.S. House bill
BOSTON (SHNS) - While the impacts of the U.S. House GOP's tax and funding cuts legislation come into focus, the group that represents the state's hospitals said this week it is closely monitoring provider tax policy for potential changes that could make it even harder to finance care for patients on MassHealth. The U.S. House voted 215-214 along party lines last Thursday to advance the so-called One Big Beautiful Bill Act that would, among many …
Away with provider taxes
The Centers for Medicare & Medicaid Services recently published a rule targeting “provider taxes,” a financing gimmick states use to harvest extra Medicaid dollars from the federal government. Good on the Trump administration. Over the last decade and a half, states have exploited provider taxes and other financing loopholes to push more and more of the cost of Medicaid onto the federal government. Now, Uncle Sam is finally pushing back. States …
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