Medicaid Block Grants and Per Capita Caps Jeopardize State Budgets, Health Care Access, and Public Health

February 7, 2025

Proposals to cap federal Medicaid funding would put millions of Americans at risk of losing coverage or experiencing cuts to benefits and force states to make difficult budget decisions.

Despite the program’s many benefits, recent proposals from Republican leadership on the House Budget Committee would convert federal Medicaid funding to block grants or impose per capita caps. Restructuring the program in this way would strain state budgets, reduce health coverage for millions, and limit states’ abilities to protect public health.


Center for American Progress
January 28, 2025
bNatasha Murphy