Urban Institute Update
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Urban Institute Update








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About 12 million households receive both Medicaid and SNAP. The reconciliation bill puts them at risk
The 2025 reconciliation bill is projected to cut Medicaid coverage for about 10.5 million people by 2034 and lower future Supplemental Nutrition Assistance Program (SNAP) benefits for all recipient families. There are roughly 12 million households that receive both Medicaid and SNAP benefits, and these cuts could cause them to lose both their health insurance and food assistance.


According to 2019–23 American Community Survey data that measure Medicaid and SNAP participation at the state and Public Use Microdata Area levels, households living in Appalachia, near the Mexico border, and in large cities have more dually enrolled households and are at higher risk of losing both benefits.


If households lose federal assistance for both programs, secondary sources for support, like local services, charitable organizations, and health care providers, could struggle to fill the gaps. These families will rely more on these systems, which might not have the capacity to meet demand.

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