This alone would leave a $27 billion hole in state budgets through 2034, CBO estimates. States that have been improving payment accuracy by investing in staff, training, and technology upgrades may be ...
Between the megabill’s July 2025 enactment and March 2026 (the last month with data on all states): These participation declines began before some of the major changes from H.R. 1 were fully in effect ...