BOSTON — State leaders will likely need to cut spending or move money from savings to manage Medicaid cuts and cost-shifts under the One Big Beautiful Bill Act, lawmakers said Monday at the National Conference of State Legislatures annual summit.

Nevada Gov. Joe Lombardo (R) has said he will not raise taxes. So lawmakers will need to consider cutting Medicaid spending, said Sen. Fabian Doñate (D), the deputy majority whip.

“You either cut eligibility that’s not mandatory, or you cut services. That becomes a challenge,” he told a packed room at the national gathering for state lawmakers and legislative staffers.

Lawmakers are still working to understand how sweeping changes in the new federal law will affect their Medicaid programs, one of the largest line items in state budgets.

The ne

See Full Page