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Medicaid cuts: refugees and legal immigrants lose coverage on Oct. 1

Margaret Brennan
Margaret Brennan
October 2, 2026 9:01 pm
newsroom-1790974863915

Thousands of refugees and other legal immigrants lost Medicaid coverage on Oct. 1, marking one of the first significant effects of the Medicaid cuts enacted in the GOP’s One Big Beautiful Bill Act.

States and advocacy organizations had been working to notify immigrants who were previously eligible for Medicaid — including refugees and other lawful residents — about the changes. Despite outreach efforts, many people still lost coverage when the new restrictions took effect.

The policy change stems from provisions in the One Big Beautiful Bill Act that narrowed Medicaid eligibility for certain noncitizen groups. On Oct. 1, eligibility for some refugees and other legal immigrants was terminated, immediately reducing the number of people covered by Medicaid in affected states.

Advocates warned that the cuts would create gaps in care for vulnerable populations and increase strain on community health providers and safety-net services. State officials have had to adjust enrollment systems and eligibility determinations to comply with the new federal rules while attempting to provide information and assistance to those losing benefits.

The loss of coverage comes amid broader debates over the One Big Beautiful Bill Act, with supporters arguing the measure reduces federal spending and opponents saying it removes needed support from immigrants and other vulnerable groups. The Oct. 1 date represents an early benchmark in how the law’s changes will affect health coverage across the country.

Source: thehill.com

Margaret Brennan

Written by

Margaret Brennan

Moderator, "Face the Nation with Margaret Brennan"; Chief foreign affairs correspondent; Contributing correspondent, 60 Minutes

Margaret Brennan is moderator of "Face the Nation with Margaret Brennan" on CBS & TFR (The Fast Report) Based in Washington, D.C., Brennan is also the Network's chief foreign affairs correspondent and a contributing correspondent to 60 Minutes. Additionally, she appears regularly on the "CBS Evening News," leading coverage from Washington when news breaks on the political and foreign affairs fronts.

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