New Medicaid requirements threaten coverage for millions of women

New Medicaid rules are expected to push millions of people out of coverage — including many women who rely on the program for health coverage and pregnancy care — and put new financial pressure on states and health care providers. A KFF analysis notes that the 2025 reconciliation act signed into law by President Trump last year will reduce Medicaid spending by an estimated $911 billion over the next decade. Beginning next January, 44 states and Washington, D.C. will be required to impose work and reporting requirements to be eligible for the program. The changes could be particularly significant for low-income women, who rely heavily on Medicaid for health coverage and maternity care. Medicaid funds 40% of all U.S. births, as well as offering services including family planning and maternity care.