California, New York and Texas are projected to lose the most healthcare jobs stemming from federal Medicaid spending reductions included in Republicans’ One Big Beautiful Bill Act, according to a June 23 brief from the Commonwealth Fund.
The budget reconciliation bill, passed by the House of Representatives on May 22, reduces federal funding for Medicaid by $863 billion over the next decade.
In 2029, cuts to Medicaid and SNAP would cause state GDPs to fall by $154 billion and lead to the loss of 1.22 million jobs nationwide, equivalent to a 0.8-percentage-point increase in the unemployment rate. State and local tax revenues would fall by $12 billion.
If enacted, the CBO has projected that the legislation will result in 10.9 million more people being uninsured by 2034. When combined with the expected expiration of premium subsidies for marketplace coverage, the CBO estimates as many as 16 million more people will be uninsured by 2034.
States ranked by projected healthcare job losses by 2029 due to Medicaid cuts:
National: 496,900 healthcare jobs lost
California: 77,200
New York: 51,100
Texas: 20,800
North Carolina: 20,700
Arizona: 20,200
Pennsylvania: 18,800
Illinois: 18,600
Ohio: 18,500
Michigan: 17,300
Kentucky: 14,400
Virginia: 13,200
Florida: 12,900
Washington: 12,100
Louisiana: 11,900
New Jersey: 11,100
Indiana: 10,900
Oregon: 10,100
Missouri: 9,400
Massachusetts: 9,200
Minnesota: 8,700
Maryland: 8,700
Tennessee: 6,900
Colorado: 6,800
Oklahoma: 6,700
Georgia: 5,800
Nevada: 5,500
Arkansas: 5,400
Connecticut: 5,400
Iowa: 5,400
South Carolina: 5,400
Mississippi: 4,600
Utah: 3,900
Alabama: 3,600
Wisconsin: 3,300
West Virginia: 3,300
Kansas: 2,100
Rhode Island: 2,200
District of Columbia: 1,900
Nebraska: 1,900
Delaware: 1,700
Hawaii: 1,700
Idaho: 1,700
Montana: 1,800
Maine: 1,500
New Hampshire: 1,200
Alaska: 1,100
South Dakota: 900
Vermont: 900
North Dakota: 700
Wyoming: 200
