How Medicaid Provider Taxes Work: An Explainer

This explainer offers a concise overview of how Medicaid provider taxes work, why states use them, and the changes made under the One Big Beautiful Bill Act (OBBBA). Created as a companion to NAMD’s OBBBA Medicaid Policy Timeline, this resource gives readers a clear understanding of a complex Medicaid financing tool and highlights key dates and parameters established by OBBBA. While not an exhaustive guide to every financing provision in the law, it provides essential context for anyone seeking to understand how provider taxes fit into Medicaid funding and how recent federal policy changes will shape state planning. Click here to download the PDF.