The share of Medicaid beneficiaries with a mental illness or substance use disorder and the
number of people receiving treatment varies by state, according to a report from mental health advocacy group Inseparable.
The report, published in June, details the potential effects of proposed Medicaid cuts. Medicaid covers 1 in 3 adults with mental illness, according to KFF, and nearly half of adults with opioid use disorder.
In May, the House passed a bill that would cut Medicaid funding by nearly $800 billion over 10 years. The Congressional Budget Office estimates 7.8 million people would lose Medicaid coverage under the House version of the bill.
The Senate introduced a version of the budget package that would include even steeper cuts to the program.
Here is how Medicaid cuts could impact behavioral healthcare in each state and in Washington, D.C.:
Alabama
Estimated coverage loss: 46,090
Percentage of Medicaid enrollees with mental illness or addiction: 21%
Medicaid enrollees receiving opioid use treatment: 7,403
Alaska
Estimated coverage loss: 26,467
Percentage of Medicaid enrollees with mental illness or addiction: 19%
Medicaid enrollees receiving opioid use treatment: 5,529
Arizona
Estimated coverage loss: 190,993
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 31,619
Arkansas
Estimated coverage loss: 87,727
Percentage of Medicaid enrollees with mental illness or addiction: 20%
Medicaid enrollees receiving opioid use treatment: 2,454
California
Estimated coverage loss: 1.47 million
Percentage of Medicaid enrollees with mental illness or addiction: 17%
Medicaid enrollees receiving opioid use treatment: 76,153
Colorado
Estimated coverage loss: 123,643
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 18,177
Connecticut
Estimated coverage loss: 117,130
Percentage of Medicaid enrollees with mental illness or addiction: 28%
Medicaid enrollees receiving opioid use treatment: 26,148
Delaware
Estimated coverage loss: 24,381
Percentage of Medicaid enrollees with mental illness or addiction: 26%
Medicaid enrollees receiving opioid use treatment: 8,566
District of Columbia
Estimated coverage loss: 43,046
Percentage of Medicaid enrollees with mental illness or addiction: 21%
Medicaid enrollees receiving opioid use treatment: 2,202
Florida
Estimated coverage loss: 214,721
Percentage of Medicaid enrollees with mental illness or addiction: 20%
Medicaid enrollees receiving opioid use treatment: 20,280
Georgia
Estimated coverage loss: 102,243
Percentage of Medicaid enrollees with mental illness or addiction: 19%
Medicaid enrollees receiving opioid use treatment: 4,911
Hawaii
Estimated coverage loss: 47,497
Percentage of Medicaid enrollees with mental illness or addiction: 13%
Medicaid enrollees receiving opioid use treatment: 1,857
Idaho
Estimated coverage loss: 27,506
Percentage of Medicaid enrollees with mental illness or addiction: 31%
Medicaid enrollees receiving opioid use treatment: 4,017
Illinois
Estimated coverage loss: 328,993
Percentage of Medicaid enrollees with mental illness or addiction: 24%
Medicaid enrollees receiving opioid use treatment: 28,054
Indiana
Estimated coverage loss: 126,528
Percentage of Medicaid enrollees with mental illness or addiction: 25%
Medicaid enrollees receiving opioid use treatment: 42,118
Iowa
Estimated coverage loss: 58,083
Percentage of Medicaid enrollees with mental illness or addiction: 29%
Medicaid enrollees receiving opioid use treatment: 3,686
Kansas
Estimated coverage loss: 20,211
Percentage of Medicaid enrollees with mental illness or addiction: 30%
Medicaid enrollees receiving opioid use treatment: 1,162
Kentucky
Estimated coverage loss: 133,536
Percentage of Medicaid enrollees with mental illness or addiction: 34%
Medicaid enrollees receiving opioid use treatment: 60,771
Louisiana
Estimated coverage loss: 143,452
Percentage of Medicaid enrollees with mental illness or addiction: 25%
Medicaid enrollees receiving opioid use treatment: 23,116
Maine
Estimated coverage loss: 34,218
Percentage of Medicaid enrollees with mental illness or addiction: 34%
Medicaid enrollees receiving opioid use treatment: 14,793
Maryland
Estimated coverage loss: 140,338
Percentage of Medicaid enrollees with mental illness or addiction: 27%
Medicaid enrollees receiving opioid use treatment: 47,974
Massachusetts
Estimated coverage loss: 166,978
Percentage of Medicaid enrollees with mental illness or addiction: 31%
Medicaid enrollees receiving opioid use treatment: 50,637
Michigan
Estimated coverage loss: 233,771
Percentage of Medicaid enrollees with mental illness or addiction: 26%
Medicaid enrollees receiving opioid use treatment: 37,440
Minnesota
Estimated coverage loss: 108,533
Percentage of Medicaid enrollees with mental illness or addiction: 33%
Medicaid enrollees receiving opioid use treatment: 15,581
Mississippi
Estimated coverage loss: 30,971
Percentage of Medicaid enrollees with mental illness or addiction: 22%
Medicaid enrollees receiving opioid use treatment: 2,080
Missouri
Estimated coverage loss: 103,697
Percentage of Medicaid enrollees with mental illness or addiction: 28%
Medicaid enrollees receiving opioid use treatment: 10,873
Montana
Estimated coverage loss: 24,719
Percentage of Medicaid enrollees with mental illness or addiction: 32%
Medicaid enrollees receiving opioid use treatment: 4,954
Nebraska
Estimated coverage loss: 26,385
Percentage of Medicaid enrollees with mental illness or addiction: 25%
Medicaid enrollees receiving opioid use treatment: 1,408
Nevada
Estimated coverage loss: 66,571
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 6,923
New Hampshire
Estimated coverage loss: 18,618
Percentage of Medicaid enrollees with mental illness or addiction: 33%
Medicaid enrollees receiving opioid use treatment: 9,838
New Jersey
Estimated coverage loss: 158,725
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 35,550
New Mexico
Estimated coverage loss: 77,299
Percentage of Medicaid enrollees with mental illness or addiction: 24%
Medicaid enrollees receiving opioid use treatment: 16,618
New York
Estimated coverage loss: 831,625
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 78,671
North Carolina
Estimated coverage loss: 57,851
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 21,935
North Dakota
Estimated coverage loss: 8,232
Percentage of Medicaid enrollees with mental illness or addiction: 25%
Medicaid enrollees receiving opioid use treatment: 1,868
Ohio
Estimated coverage loss: 253,111
Percentage of Medicaid enrollees with mental illness or addiction: 38%
Medicaid enrollees receiving opioid use treatment: 82,079
Oklahoma
Estimated coverage loss: 90,595
Percentage of Medicaid enrollees with mental illness or addiction: 26%
Medicaid enrollees receiving opioid use treatment: 8,020
Oregon
Estimated coverage loss: 129,616
Percentage of Medicaid enrollees with mental illness or addiction: 27%
Medicaid enrollees receiving opioid use treatment: 22,456
Pennsylvania
Estimated coverage loss: 274,981
Percentage of Medicaid enrollees with mental illness or addiction: 30%
Medicaid enrollees receiving opioid use treatment: 84,445
Rhode Island
Estimated coverage loss: 28,973
Percentage of Medicaid enrollees with mental illness or addiction: 28%
Medicaid enrollees receiving opioid use treatment: 7,767
South Carolina
Estimated coverage loss: 56,108
Percentage of Medicaid enrollees with mental illness or addiction: 30%
Medicaid enrollees receiving opioid use treatment: 7,371
South Dakota
Estimated coverage loss: 12,735
Percentage of Medicaid enrollees with mental illness or addiction: 23%
Medicaid enrollees receiving opioid use treatment: 418
Tennessee
Estimated coverage loss: 76,348
Percentage of Medicaid enrollees with mental illness or addiction: 25%
Medicaid enrollees receiving opioid use treatment: 19,673
Texas
Estimated coverage loss: 229,953
Percentage of Medicaid enrollees with mental illness or addiction: 17%
Medicaid enrollees receiving opioid use treatment: 5,866
Utah
Estimated coverage loss: 31,803
Percentage of Medicaid enrollees with mental illness or addiction: 29%
Medicaid enrollees receiving opioid use treatment: 10,776
Vermont
Estimated coverage loss: 20,548
Percentage of Medicaid enrollees with mental illness or addiction: 37%
Medicaid enrollees receiving opioid use treatment: 8,428
Virginia
Estimated coverage loss: 161,614
Percentage of Medicaid enrollees with mental illness or addiction: 26%
Medicaid enrollees receiving opioid use treatment: 36,286
Washington
Estimated coverage loss: 194,013
Percentage of Medicaid enrollees with mental illness or addiction: 26%
Medicaid enrollees receiving opioid use treatment: 44,266
West Virginia
Estimated coverage loss: 51,786
Percentage of Medicaid enrollees with mental illness or addiction: 31%
Medicaid enrollees receiving opioid use treatment: 26,752
Wisconsin
Estimated coverage loss: 147,351
Percentage of Medicaid enrollees with mental illness or addiction: 29%
Medicaid enrollees receiving opioid use treatment: 19,540
Wyoming
Estimated coverage loss: 3,449
Percentage of Medicaid enrollees with mental illness or addiction: 25%
Medicaid enrollees receiving opioid use treatment: 247
