07/11/2025
A Major healthcare policy shift is coming to Maryland!
New analysis reveals that H.R. 1 will have a $2 billion annual impact on Maryland's healthcare system, the most significant federal policy change affecting state health programs in decades.
Key projections from state agencies:
- 420,000+ Marylanders could lose health coverage.
- $1.2 billion reduction in federal Medicaid funding.
- 17.1% average insurance rate increases for 2026.
- $572.5 million shifted to state taxpayers for food assistance.
What does this mean for Maryland?
- Work requirements for Medicaid take effect Dec. 31, 2026, with semi-annual eligibility reviews creating significant administrative complexity.
- Healthcare providers should begin preparing now for documentation requirements and potential increases in uninsured patients.
- Maryland's "trigger provision" requires legislative action if federal funding drops by $1B+ annually—a threshold likely to be met.
- For healthcare professionals, older adults, and families navigating these changes, preparation is critical.
- The implementation timeline spans 18 months, with the steepest impacts expected in early 2027.
Here is my complete analysis of Maryland state projections, healthcare provider preparation guides, and timeline details:
And here is a link to the article I wrote:
Over 420,000 Marylanders could lose health coverage as H.R. 1 triggers $2 billion in annual costs across Medicaid, SNAP, & insurance programs