With the new administration prioritizing federal spending cuts, Medicaid restructuring has become a key focus, with the intent to change structural components to reduce eligible members and state reimbursement. To achieve $2 trillion in budget cuts, Medicaid will inevitably be affected. Even if proposed federal Medicaid funding reductions—totaling $880 billion over 10 years in House Concurrent Resolution 14—are lowered to $400 billion1, the gradual but significant financial strain will still require states to continually reassess eligibility, reimbursement structures, and care delivery models to maintain program viability.