The recently enacted federal Reconciliation package (H.R. 1) makes significant changes to overall federal spending. These cuts are expected to have a major impact on state budgets. Some states have already announced plans to scale back specific services others, while others plan to launch into special sessions. Though much of OBBBA is being rolled out over the next few years, states are discussing financial strategies now, particularly for Medicaid programs.
This tool below highlights the current fiscal health of states as they head into 2026. At Stateside, we are monitoring state budgets and Medicaid programs nationwide. Please don’t hesitate to reach out with any questions or if you would like a deeper dive into specific states or policy areas.
