Cuts to Medicaid, as outlined in the One Big Beautiful Bill (OBBB), are not expected to have an outsized effect on South Carolinians who use Medicaid. That’s because South Carolina is one of 10 states to not have expanded Medicaid under incentives from the Affordable Care Act. Expansion states expect to see large numbers of recipients fall off Medicaid rolls, as those rolls expanded access to more people.

That is not to imply that South Carolina will necessarily fare better than other states. According to United Health Foundation, 9.1 % of South Carolinians – roughly 468,000 residents – were uninsured in 2023. That ranked the state 38^th in the nation.

That same year, the state overall ranked in the bottom 10 for physical health, mortality, and access to care.

Listen/read the full story on South Carolina Public Radio’s website.