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As Congress weighs federal policy changes that could significantly cut Medicaid funding and reduce enrollment, states are racing to estimate the local impact. In Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes, Elizabeth Lukanen and Emily Zylla of SHADAC provide an overview of how states are responding with their own projections—some offering granular insights by county or hospital, others adding qualitative context to financial forecasts. This evolving resource helps policymakers, advocates, and agencies track the potential effects of Medicaid changes across the country.