Public Policy Resources

Medicaid is a critical source of health insurance and coverage for more than 77 million Americans, including people with cancer who rely on the program for prevention, timely detection, treatment, and survival. The 2025 budget reconciliation bill makes significant changes to key Medicaid funding mechanisms like state-directed payments and provider taxes, which are expected to reduce states’ ability to finance their Medicaid programs. This factsheet outlines what these changes mean, the projected financial impact on states, and consequences for patient access to cancer care.

ACS CAN submitted comments to CMS opposing Montana's 1115 waiver application to implement work requirements and premiums in their Medicaid program.

ACS CAN opposes policies that condition Medicaid enrollment on work or reporting of work. 

ACS CAN opposes Utah’s proposal to implement work requirements in its Medicaid program, and we urge CMS to reject the amendment request.

ACS CAN supports this demonstration application and urges the Centers for Medicare and Medicaid Services to approve it.

While ACS CAN supports South Carolina expanding Medicaid, we oppose the current proposal for a severely limited expansion with work requirements and an enrollment cap. We urge CMS to reject this proposal.

ACS CAN opposes the extension of Iowa Medicaid's Wellness demonstration, which is now proposed to include a work requirement.

Medicaid provides access to life-saving care for people in America fighting cancer, especially low-income individuals primarily from rural and underserved communities.