As Medicaid coverage shrinks, charity care has to grow

By: Jessica Dobrinsky

Outlets: West Virginia Watch

Published: October 7, 2026

Words: 799

Last Updated: 1 week, 4 days ago

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H.R. 1, also known as “One Big Beautiful Bill,” may soon reduce Medicaid enrollees in West Virginia by as many as 75,000, according to the Urban Institute. This reduction in enrollment will depend mostly on how states implement new rules, including work requirements and six-month redeterminations that begin Jan. 1, 2027.

While policymakers at the state and federal level grapple with how to handle this adjustment, patients in West Virginia …

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