The ideas being proposed could amount to more than $2 trillion of cuts to the country’s public health insurance program for low-income and disabled Americans over the next decade — and could potentially push millions of people off the program.

Indiana Gov. Mike Braun was sworn in on Monday and his administration has already made changes to the Medicaid program. The most significant change involves how often the Family and Social Services Administration checks whether people are still eligible.

Indiana lawmakers say Medicaid will be a major health policy concern heading into the legislative session. The leader of the House health committee said the theme for the Medicaid program this year is “change.”

Rural health leaders and advocates in Indiana say the Medicaid reimbursement rate is way behind where it needs to be. Addressing those rates is among the Indiana Rural Health Association’s advocacy priorities presented ahead of the 2025 legislative session.

Thousands of Hoosiers continue to wait for home- and community-based services through Medicaid. One advocate said families should keep consistent contact with the state while they wait.

The Family and Social Services Administration said in February it was not aware of how much money certain caregivers were paid. The agency announced it will implement a minimum “pass-through” rate prompted by legislation signed into law this year.

Indiana is one of 12 states that are vulnerable to Medicaid coverage loss if federal funding is reduced under the upcoming Trump administration.

Advocates said they’re concerned about how the results of the presidential election could impact Medicaid programs in the state. One advocate says people should pay attention to national changes, but shouldn’t panic.

Medicaid members and providers continue to encounter problems with the implementation of the state’s new long-term care program for people over 60. One lawmaker said the dedicated support line isn’t able to provide basic information.

Thousands of Hoosiers are stuck on a waitlist for home- and community-based services through Medicaid — often with no information about when they might get to the front of the line. The Family and Social Services Administration says it’s added new information to its dashboard that could help people understand where they are on the list.