Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025

(By Alice Burns, Maiss Mohamed, and Molly O’Malley Watts for The Kaiser Family Foundation Published: Apr 07, 2025)

To achieve the federal savings required by the House budget resolution, Congress would need to cut federal Medicaid spending by hundreds of billions of dollars, leaving states with significant budget shortfalls. Such policies could have major implications for older adults and people with disabilities who comprise 1 in 4 Medicaid enrollees but over half of Medicaid spending on account of higher per-person costs. Within this group, there are multiple eligibility pathways, most of which are optional for states to cover, and all of which have more complex eligibility requirements than coverage for other enrollees. Proposals to limit federal spending on Medicaid may pressure states to restrict Medicaid eligibility pathways, cover fewer optional benefits, and reduce provider payment rates. Coverage for people eligible through optional pathways, which are offered by all states, may be particularly at risk because of the high per-person costs of people enrolled through those pathways. Continue reading here…

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