Medicaid remains the backbone of West Virginia’s health care system — covering more than half a million West Virginians, including children, pregnant women, people with disabilities, low-income working adults, and seniors. It is also the lifeline that keeps our rural hospitals, clinics, and health care workers afloat. With more than $4 billion in federal matching dollars flowing into our state, Medicaid isn’t just a health program —
it’s an economic engine that sustains care and jobs in every county.
Yet in 2026, that lifeline is under threat. The so-called “Big Beautiful Bill” — supported by West Virginia’s entire congressional delegation — includes deep spending cuts that would automatically trigger reductions in Medicaid funding, as well as to Medicare through PAYGO provisions. These cuts would force impossible choices: fewer services, longer waits, and loss of coverage for those who need care the most.
WVAHC’s priority for 2026 is to preserve, protect, and defend Medicaid and Medicare from these reckless cuts. We will work to ensure lawmakers understand what’s at stake — that every dollar cut from Medicaid/Medicare is a dollar taken from West Virginia families, hospitals, and communities. A strong, accountable, and fully funded Medicaid program is essential to protecting our people and preserving access to care in every corner of the state.