KFF Health News reached out to the governors of the 10 states that have not fully expanded Medicaid to see if the budget legislation made them regret that decision or made them more open to expansion.

While nearly 63,000 signatures have been collected, the campaign needs over 880,000 for the ballot. It involves mobilizing volunteers and community engagement to promote Medicaid expansion.

But even with the expansion group surviving budget talks, impacts to Medicaid in Ohio are still on the horizon from the budget reconciliation bill, according to analysts and advocates.

The One Big Beautiful Bill Act created federal work requirements for Medicaid recipients, which amount to 80 hours a month in community engagement activities to maintain eligibility.

AI-generated summary reviewed by our newsroom. Read our AI Policy. Federal law changes could cost NC up to $50B in Medicaid funds over 10 years. Work rules and cuts could end Medicaid expansion ...

North Carolina Senate leader Phil Berger says he supports Trump’s “big, beautiful bill,” but its spending cuts could end Medicaid expansion.