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Understanding the Impact of Federal Funding Cuts to Medicaid
The resources on this page are intended to help stakeholders understand how federal funding cuts contained in the ‘One Big Beautiful Bill Act’ (OBBBA) will impact Medicaid, which covers roughly 1 in 4 Illinoisans.
July 8, 2025
Statement from HFS Director Elizabeth M. Whitehorn:
“The federal Medicaid cuts will be devastating, as they will strip coverage away from many of our current customers, strain providers across the state, diminish funding for critical reproductive healthcare services, and bring major fiscal pressures for the state. HFS will do everything we can to minimize the harm of these cuts for Illinoisans.”
HFS Stakeholder Webinar Series: Medicaid Changes Under HR 1
HFS is hosting a webinar series to help stakeholders understand upcoming federal changes to Medicaid under HR 1. These changes will begin affecting some Medicaid customers on January 1, 2027.
HFS is implementing these updates to comply with new federal requirements. The Department is committed to providing clear information, advance notice, and ongoing support to help customers understand what these changes mean and how to keep their coverage if they qualify. Your partnership will play an essential role as we navigate these changes together.
Registration is required. Links to register for each webinar module are provided below.
HR1 Module 1:
Medicaid Overview and HR 1 Changes, Impact, and Timeline
Thursday, May 21, 2026
1:00 PM – 2:00 PM (Central Time)
Registration Link
HR1 Module 2:
Non-citizen Eligibility Changes & Alternative Resources
Tuesday, June 23, 2026
1:30 PM - 2:15 PM (Central Time)
Registration Link
HR1 Module 3:
Work Requirements & Community Engagement
Tuesday, July 14, 2026
1:30 PM - 2:30 PM (Central Time)
Registration Link
HR1 Module 4:
Exemptions from Work Requirements
Wednesday, July 22, 2026
1:30 PM - 2:30 PM (Central Time)
Registration Link
HR1 Module 5:
Redeterminations and Retroactive Coverage
Thursday, August 20, 2026
1:00 PM - 2:00 PM (Central Time)
Registration Link
HR1 Module 6:
Common Questions and Answers Regarding Medicaid Changes
Tuesday, September 15, 2026
1:00 PM - 2:00 PM (Central Time)
Registration Link
HR1 Module 7:
System Changes: How to Utilize and Assist
Wednesday, October 21, 2026
1:30 PM - 2:30 PM (Central Time)
Registration Link
Resources
Understand how federal cuts may impact Medicaid
- Illinois Legislative Subject Matter Hearing on HR 1 Medicaid Implementation - October 2025 (pdf)
- Medicaid Federal Policy Changes Fact Sheet - October 2025
- Rural Health Transformation Program
- Impact of federal changes to IL Medicaid - July 2025 (pdf)
- Illinois HHS Virtual Briefing: OBBBA Impacts on Medicaid and SNAP - August 2025
- OBBBA Impacts on Medicaid and SNAP slide deck - August 2025 (pdf)
- Federal Resource Center FAQs
- HFS Save Medicaid toolkit May 2025 (pdf)
Learn about Medicaid in Illinois
Stay informed
Press releases
Director Whitehorn Commentary: More uninsured Illinoisans would be ruinous for the state – February 2025
HFS Stakeholder Newsletter: Provides quarterly updates on major agency initiatives, and policy and program changes