March Newsletter

This edition of the Agilian Newsletter unpacks the latest threats to Medicaid funding and coverage, detailing the states most at risk, ongoing legal battles, and the policy shifts shaping the future. With millions of beneficiaries on the line, Medicaid leaders must stay informed and prepared.

References:

• Center on Budget and Policy Priorities. (2018). Protecting Medicaid: State actions to safeguard coverage. Retrieved from https://www.cbpp.org/research/health/protecting-medicaid
• Kaiser Family Foundation. (2025). Medicaid state fact sheets. Retrieved from https://www.kff.org/medicaid/state-indicator/medicaid-state-fact-sheets/
• Kaiser Family Foundation. (2025). Medicaid work requirements: Current waiver and legislative activity. Retrieved from https://www.kff.org/medicaid/issue-brief/medicaid-work-requirements-current-waiver-and-legislative-activity/
• Las Vegas Sun. (2025). Nevada lawmakers want answers on how potential GOP Medicaid cuts could impact the state. Retrieved from https://lasvegassun.com/news/2025/feb/18/nevada-lawmakers-want-answers-on-how-potential-gop/
• Montana Healthcare Foundation. (2025). Ending Medicaid expansion: Effects on the individual market. Retrieved from https://mthf.org/resource/ending-medex-effects-on-individual-market/
• New York Attorney General. (2025). Attorney General James leads coalition suing to stop Trump administration’s Medicaid funding freeze. Retrieved from https://ag.ny.gov/press-release/2025/attorney-general-james-leads-coalition-suing-stop-trump-administration
• Newsweek. (2025). States moving forward with Medicaid work requirements. Retrieved from https://www.newsweek.com/states-medicaid-work-requirements-map-2023330
• The Associated Press. (2025). Federal judge pauses President Trump’s order restricting gender-affirming care for trans youth. Retrieved from https://apnews.com/article/7dc418e445ddf74c7f69c777839373b3

This literature review compiles the latest legal and policy developments on Medicaid in response to actions taken by the Trump administration and GOP-led Congress.