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Image credit: PBS News Hour

How People with Disabilities Could Bear the Burden of Medicaid Funding Cuts

February 4, 2026

How People with Disabilities Could Bear the Burden of Medicaid Funding Cuts

Medicaid helps millions of people with disabilities access health care and daily supports. Proposed funding cuts could change who bears the cost—and how services are delivered.

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Note: If you are short on time, watch the video and complete this See, Think, Wonder activity: What did you notice? What did the story make you think about? What would you want to learn more about?

According to the nonpartisan Congressional Budget Office, President Trump’s One Big Beautiful Bill Act will slash more than a trillion dollars in federal spending from Medicaid and the Children’s Health Insurance Program by 2034. Judy Woodruff examines what those cuts could mean for home and community care providers who serve adults with special needs. It's part of her series, Disability Reframed.

View the transcript of the story.

Key Term

Medicaid A federal health insurance program for children, the elderly, pregnant women, people who are disabled of any age and people with low incomes based on strict guidelines. Medicaid currently enrolls almost 77 million people in the U.S., or 1 in 5 Americans.

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Warm-Up Questions

  1. Who is Sidikie Kamara, and what organization did he help build?
  2. How does Medicaid help people with disabilities attend Bright Center?
  3. What services does Medicaid provide? Who does Medicaid serve?
  4. Why are states going to lose billions in Medicaid funding by 2034?
  5. Where will Medicaid cuts affect people? Which states?

Essential Questions

  • Do you think benefit programs like Medicaid are a critical role of federal government? Explain.
  • What would you advise to individuals and their families who will lose their health insurance as a result of the Medicaid cuts?

Media literacy: The story opens with anchor Amna Nawaz discussing how President Trump's One Big Beautiful Bill, passed by Congress, will slash more than one trillion dollars in federal spending from Medicaid and the Children's Health Insurance Program (CHIP) by 2034. In a later clip, we hear Robert F. Kennedy Jr., head of the Dept. of Health and Human Services (DHHS) say, "there are no cuts to Medicaid," something the Trump administration has said repeatedly.

  • What should you do when you are watching a news story and hear conflicting or confusing information? What questions should you ask?

What Students Can Do

Learn more about what it is like to live with a disability in the United States. Choose another story in the Disability Reframed series to watch with a friend, family member or classmate. Why did you choose that particular story? What were your takeaways?

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Republished with permission from PBS News Hour Classroom.

PBS News Hour Classroom
PBS News Hour Classroom helps teachers and students identify the who, what, where and why-it-matters of the major national and international news stories. The site combines the best of News Hour's reliable, trustworthy news program with lesson plans developed specifically for... See More
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