Medicaid and SNAP are lifelines for Pennsylvania’s families
Over 1.1 million Pennsylvania children benefit from Medicaid – representing approximately 40% of children in the commonwealth.
More than 309,000 SNAP Households include children – representing nearly 41% of all SNAP recipients in Pennsylvania.
These interactive maps demonstrate the projected harm, by county and by Pennsylvania House and Senate districts, in terms of coverage, funding, and economic development losses posed by H.R.1 to Pennsylvania’s young people and the adults/caregivers who support them.
Projected Harm to Coverage, Funding, and Economic Development
Over 1 million Pennsylvania families are at risk of losing some or all of SNAP benefits by 2034.
In addition to the projected coverage loss, the Urban Institute predicts average benefit reductions totaling $167 per month for Pennsylvania families. Using Feeding America’s average meal cost for Pennsylvania ($3.61), this amounts to a loss of 46 meals each month, or 1.5 meals a day, due to SNAP cuts.
Up to $15.9 billion in potential economic development losses in Pennsylvania due to SNAP cuts.
Total projected economic development losses due to SNAP cuts in Pennsylvania (projections are based on U.S. Department of Agriculture (USDA) and Food Action Research Center (FRAC) estimates).
$2,277 potential out-of-pocket costs for a family of four on Medicaid.
A family of four earning 138% of the Federal Poverty Level (an income of $45,540 in 2026) will be expected to pay up to 5% or $2,277, out of pocket, for covered services that are not exempted. This provision will allow providers to deny Medicaid enrollees certain services if they are unable to pay their shared cost.
An estimated $54.8 billion in possible funding loss to Medicaid and SNAP in Pennsylvania.
H.R.1 includes the largest cuts to Medicaid and SNAP in history. By 2034, Pennsylvanians stand to lose roughly $54.8 billion in Medicaid and SNAP funding (out of an estimated $1.2 trillion in national cuts).
Map Categories
Medicaid and SNAP Terminology
- Medicaid: Medicaid, also called Medical Assistance (MA) in Pennsylvania, is a public health insurance program that covers a wide range of services, including doctor visits, hospital care, prescription drugs, mental health treatment, long-term care, and preventive services. Such coverage ensures low-income children, adults, older adults, and people with disabilities can access the care they need without facing crushing medical costs.
- SNAP: The Supplemental Nutrition Assistance Program (SNAP) provides for similar vulnerable populations, with additional funds to access nutritious foods. This prevents food insecurity, promotes health, and respects human dignity, which benefits all Pennsylvanians, not simply those enrolled.
- Coverage Loss: When a person is no longer enrolled in their state’s Medicaid program, often due to changes in eligibility like increased income, failing to complete paperwork, or falling out of compliance, such as work requirements.
- Funding Loss: This typically refers to a reduction in the federal government’s financial contribution to the state’s Medicaid program, which can lead to the state facing budget shortfalls and potentially cutting or reducing services for enrollees, resulting in increased disenrollment or individuals having to pay more out-of-pocket for health care.
Data Limitations and Methodology
These maps provide estimates based on the best publicly available data at the time of analysis (February 2026). Because they rely on past trends and projected federal proposals, they cannot account for future policy decisions, changes in funding or eligibility, administrative practices, or how individuals and families may respond.
Congressional Budget Office estimates of the budgetary effects of H.R.1 are the foundation of this work. These national projections informed all state-, county-, and district-level figures shown in the maps. A proportional distribution method was used to translate these large-scale impacts to the local level, using Medicaid and SNAP participation from 2024 Census data to calculate each area’s share of program enrollment.
This approach allows for consistent geographic comparisons, but actual impacts may vary depending on local economic conditions, enrollment patterns, and the implementation of policies. To avoid overstating potential impacts, all estimates were rounded down, making these projections intentionally conservative.
These maps are intended to illustrate the overall scale and distribution of potential impacts under H.R.1 rather than precise dollar amounts or numbers of people affected. Estimates may be updated as new data and guidance become available.