The State of State Budgets

Surplus & Deficit by State

The recently enacted federal Reconciliation package (H.R. 1) introduces major changes to state Medicaid funding. To manage these reductions, some states have already announced plans to scale back services, while others are preparing for special legislative sessions. Although much of the OBBBA implementation will roll out over the next several years, states are actively developing financial strategies now.

The interactive tool below highlights each state’s current fiscal health as they head into 2026. Hover over a state for more details. At Stateside, we are closely monitoring state budgets and Medicaid program developments nationwide. 

Reach out today with your questions, or schedule a deeper dive into the states and policy areas that matter most to you. Connect directly with our team by clicking below to access their contact information.