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States are cutting Medicaid provider payments long before Trump cuts hit

Alessandra Fabrello (left) cares for her son Ysadore Maklakoff. North Carolina Medicaid cuts that went into affect Oct. 1 mean Fabrello will have a pay cut as a family caregiver. Maklakoff qualifies for services he can

North Carolina and Idaho have cut their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new federal tax-and-budget law takes effect.

(Image credit: Aaron Marco)