Federal changes to Medicaid funding and Affordable Care Act subsidies are reshaping Mississippi’s health care system, raising concerns about insurance coverage, hospital finances, and access to care in a state that already ranks among the nation’s poorest and least insured.
The One Big Beautiful Bill Act, enacted in July 2025, cuts federal Medicaid spending by $1.1 trillion over the next decade and allowed enhanced ACA subsidies to expire at the end of 2025. Health policy experts warn the changes could leave tens of thousands of Mississippians uninsured and strain hospitals already operating on thin margins.