States Pay Deloitte, Others Millions To Comply With Trump Law To Cut Medicaid Rolls By Samantha Liss and Rachana Pradhan March 31, 2026

https://kffhealthnews.org/news/article/state-medicaid-work-requirements-eligibility-systems-deloitte-accenture-optum/ KFF Health News: States Pay Deloitte, Others Millions To Comply With Trump Law To Cut Medicaid Rolls States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act — a law that will strip safety-net health and food benefits from millions. State governments rely on such companies to design and operate computer systems that assess whether low-income people qualify for Medicaid or food aid through the Supplemental Nutrition Assistance Program, commonly referred to as food stamps. Those state systems have a history of errors that can cut off benefits to eligible people, a KFF Health News investigation showed. (Liss and Pradhan, 3/31)