States pay Deloitte, others millions to comply with Trump law to cut Medicaid rolls

By: Samantha Liss | KFF Health News, Rachana Pradhan | KFF Health News

Outlets: Wisconsin Examiner

Published: April 5, 2026

Words: 2,463

Last Updated: 3 months, 3 weeks ago

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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 …

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