In these states, health care won’t be as big or beautiful

Democratic-leaning states will feel more of the impact of sweeping Medicaid cuts included in the One Big Beautiful Bill Act , according to a new analysis by Oxford Economics .

The report, authored by lead economist Barbara Denham, says that millions of Americans – regardless of where they live – will lose access to health insurance because of the tighter eligibility rules and new work requirements. Immigrants will be disproportionately affected, with many losing coverage under Medicaid, Medicare and the Children’s Health Insurance Program.

States such as California and New York – which have both expanded Medicaid and have large immigrant populations – are expected to be hit hardest. Other vulnerable states with large immigrant populations include Louisiana, Nevada, New Jersey, New