The One Big Beautiful Bill is now law. It spells the beginning of the end for an abusive Medicaid financing scheme that states, including Connecticut, have used to siphon money from the federal Treasury, supposedly for health coverage for the poor.

How does it work? State governments tax providers—mainly hospitals—but return much of the money right back to the hospitals, labeling it a “supplemental payment.” With this label, the returning money triggers a federal matching payment.
The federal matching funds have financed both Medicaid’s explosive growth and state spending unrelated to the program.

Connecticut used federal funds from provider taxes to close its enormous state budget deficit in 2017. Connecticut has continued to rely heavily on the gimmick.
Connecticut has continued to rely heavily on the gimmick.