5 Key Facts About Medicaid Coverage for People Ages 50 and Older

(By Abby Wolk and Alice Burns for The Kaiser Family Foundation Published: Jun 18, 2025)

On May 22, the House passed a budget reconciliation bill that includes significant changes to the Medicaid program designed to reduce federal spending and enrollment, and on June 16, the Senate Finance Committee released language that could result in more significant reductions in Medicaid spending and enrollment. The Congressional Budget Office (CBO) estimated that the House bill would reduce federal Medicaid spending by $793 billion and reduce the number of people covered by Medicaid in 2034 by 10.3 million. The two largest sources of spending cuts in CBO’s estimates are establishing work requirements for adults eligible for Medicaid through the Affordable Care Act (ACA) Medicaid expansion (estimated to save $344 billion) and repealing the Biden Administration’s rules simplifying Medicaid enrollment and renewal processes (estimated to save $167 billion). Many of the reductions in coverage will be among Medicaid enrollees ages 50 and older. Continue reading here…

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