What do you value?
Many assume MaineCare—our state’s Medicaid program—only serves those who are unemployed. In reality, it’s a lifeline for low-wage workers, children, people with disabilities, pregnant women, and older adults who need long-term care. It is Maine’s largest health insurance program, covering 400,000 people as of January 2025.
Maine’s demographic challenges are sobering. We continue to rank #1 in the nation for the highest average age. With fewer young people entering the workforce and a growing population of older adults, the demand for healthcare—and MaineCare—is only increasing. But the workforce to meet those needs is shrinking.
MaineCare is at risk—and so is our future. Without robust federal funding, hospitals, nursing homes, and community-based programs will continue to close. In the last decade alone, nine hospitals, 29 nursing homes, and 26 residential care facilities in Maine have closed or announced closures. The top causes? Workforce shortages, inflation, and chronically low Medicaid reimbursement rates.
These closures threaten the core of where care happens: hospitals and nursing homes account for 30% of all MaineCare claims, while home- and community-based group homes—supporting individuals with mental health, substance use, and developmental or intellectual disabilities—account for another 20%.
Federal dollars cover 60% to 90% of MaineCare costs, depending on the service. Cuts to that funding would devastate not only healthcare providers but the Mainers who rely on them.
As Congress returns from recess, lawmakers are considering $880 billion in Medicaid cuts—threatening care for millions. Meanwhile in Maine, a newly passed budget that finally delivers long-overdue payments to MaineCare providers now faces a people’s veto. If it moves to a referendum, it could delay critical funding and risk a government shutdown, putting essential services—including MaineCare—on the line.
In our rural state, MaineCare is essential for more than just coverage—it funds transportation to doctors, therapists, and other community-based providers. It covers medications that prevent and manage chronic illnesses. It is a health care system, a workforce support, and an investment in the well-being of our communities.
These aren’t just Maine’s issues—they are America’s. But here in Maine, with our aging population and fragile healthcare infrastructure, the stakes are especially high. We all want a better future—but we won’t get there by cutting the programs that keep our communities healthy, working, and connected.
Please call your state and federal representatives and urge them to protect Medicaid. Maine can’t afford more cuts.
