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FY2026 Federal Medical Assistance Percentage for Medicaid by State The primary question state leaders will be grappling with moving forward is, How are we going to pay for this? When Medicaid funding has been cut in the past, states have responded by reducing benefits, restricting eligibility, lowering provider payments, and finding ways to balance their budgets either through tax increases or reallocation of funds. Some states have already taken steps to reduce Medicaid expenses in preparation