Trump's One Big Beautiful Bill introduces cuts to the social safety net, with many effective dates delayed until post-2026 midterm elections. New Medicaid work requirements and provider tax limits are delayed, with Medicaid co-payments starting in 2028. SNAP cuts also back-load state responsibilities to 2028, with significant changes in administrative costs starting in 2026. Local implementation by states complicates the timetable and extent of the cuts, allowing for variations as states may act differently regarding federally mandated changes.
The final bill Republicans delayed the effective date for some of the more visible cuts until after the 2026 midterm elections, affecting Medicaid work requirements and provider taxes.
New co-payments for Medicaid services will be imposed in October of 2028 for recipients with incomes over the federal poverty line.
States finance and administer Medicaid, SNAP, and other safety-net programs jointly with the federal government, allowing for local variations in the implementation of cuts.
The federal government's share of SNAP's administrative costs will drop from 50 percent to 25 percent on October 1, 2026, just before the midterms.
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