Last year, Congress and the Trump administration approved legislation that imposes additional work requirements for Medicaid participants and mandates $990 billion in cuts to the program over the next 10 years. The Trump administration claimed the Medicaid cuts would improve program integrity by removing ineligible users. Governor Josh Shapiro has said Pennsylvania cannot backfill its expected $34 billion to $57 billion reduction in funding. A Department of Human Services spokesperson said children will be impacted by the Medicaid cuts but was unable to provide an estimate of how many. According to SpotlightPA.org, the Shapiro administration predicts the cuts will cause more than 300,000 adults to become uninsured. Advocates warn that upcoming Medicaid changes may increase the number of uninsured children in Pennsylvania and undo prior healthcare access gains. According to papartnerships.org, Kari King, president and CEO of Pennsylvania Partnerships for Children, said Medicaid changes may set back progress in child healthcare access. King also said Congress letting COVID-related tax credits expire could lead to higher premiums that force families to drop private or Affordable Care Act coverage.