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The real impact of federal SNAP cuts on Medicaid, Medicare and vulnerable Americans

Written by Pyx Health | Sep 11, 2025 2:00:00 PM

The Supplemental Nutrition Assistance Program (SNAP) is a vital source of nutritional support that reduces food insecurity for millions of Americans with low incomes. But the federal budget laid out by the One Big Beautiful Bill Act (OBBBA) has made sweeping changes that could shake the most vulnerable populations. A whopping $187 billion in program reductions over the next decade will affect more than 40 million people, including 16 million children, 8 million seniors and 4 million non-elderly adults with disabilities. 

Concerns about these cuts keep growing as SNAP cuts trickle down to public health and health care costs. Losing access to consistent, nutritious food can directly impact members’ health outcomes, while the health care system bears the brunt of managing preventable conditions. Take a deep dive into the real impact of SNAP spending cuts, from those most affected to harmful health consequences.

Who is affected?

As SNAP cuts go into effect, they’re set to have the biggest impact on vulnerable populations with significant nonmedical drivers of health (NMDOH). Many SNAP recipients are also enrolled in other social support programs that have been drastically reduced, leaving several key groups without assistance.

Medicaid beneficiaries

SNAP recipients enrolled in Medicaid struggle to engage in their health care, but eating well is just as important as regularly checking in with your doctor. Without consistent access to the nutritious food that SNAP provides, this group could worsen — or increase their risk of — the most prevalent conditions among low-income populations, including:

  • Diabetes 
  • Hypertension
  • Cardiometabolic risk factors

Medicare recipients

Think about the grandma who buys only her essential milk, bread and cheese at the grocery store. Or the widower who sticks to frozen entrees. 

So many older adults on fixed incomes and community health care depend on SNAP to supplement their food budget. Losing it is a catch-22 because nutrition problems could lead to preventable complications and increase hospitalizations, adding health care expenses to their rising food costs.

ACA-covered and uninsured individuals

Low-income individuals who are either uninsured or who have coverage through the Affordable Care Act (ACA) frequently rely on SNAP. As this lifeline diminishes, so will their health. Limiting this group’s access to food increases their risk of preventable illness, perpetuating a cycle of financial strain that many want to overcome to grow and advance through life.

Young adults

“But aren’t young people the healthiest?”

Generally speaking, yes. But many receive SNAP, and the OBBBA legislation is like a game of dominoes for these younger adults. Changes to work requirements for SNAP benefits — including that most adults must work 20+ hours per week — and an increasingly hard-to-navigate administration are limiting eligibility. This could leave nearly 3 million young adults vulnerable to food insecurity.

How SNAP cuts translate to poorer health outcomes

Food insecurity is a critical NMDOH that is strongly linked to negative health outcomes. Research shows a clear connection between a lack of reliable access to nutritious food and a host of health problems.

  • Higher rates of chronic disease: Food-insecure adults are more likely to have poor health, with a higher prevalence of diabetes, malnutrition, high blood pressure and heart disease.
  • Poor maternal and child health: Inadequate nutrition during pregnancy and childhood can cause long-term health issues.
  • Mental health challenges: Food insecurity is closely tied to heightened risks of anxiety, depression and stress.

Barriers to medication adherence and condition management

SNAP cuts won’t just cause health conditions. When people can't afford food, other needs often fall by the wayside, forcing recipients to make tough choices about managing known ailments. 

Food-insecure adults are more likely to have poor health, a higher prevalence of chronic conditions and more limited in their daily activities. It feels impossible to stay healthy, and yet they make sacrifices to get by, underusing medication and even putting off medical care. 

Ripple effects across the health care system and economy

The downstream impacts of SNAP spending cuts will extend far beyond individual health. From the flow of patients through hospital doors to local spending, this one program alone may bring shockwaves. 

Avoidable instances of care

As access to nutritious food and overall health deteriorate with the loss of SNAP benefits, your members may be headed to the ER or inpatient care more often. SNAP has been proven to correlate with better health outcomes, but without it, preventable health complications will drive up costs across Medicaid, Medicare and community clinics.

Policy and economic implications

The short-term savings from SNAP budget cuts will generate immediate savings, but the plan could also be misleading as costs mount over time. The measure undermines the federal government’s health and nutrition goals for families to be able to maintain a healthy diet, while local economies also stand to take substantial hits. 

Research shows that for every $1 spent, the economy grows by about $1.50. This spending circulates through the economy, leading to $1.54 billion in total economic growth. As SNAP diminishes, grocery stores and farms that rely on SNAP recipients to spend those dollars will see their sales drop, while recipients simultaneously reduce their personal spending at other businesses just to make ends meet. 

Overcome SNAP cuts with meaningful member engagement

SNAP spending cuts pose a significant threat to the health and well-being of millions of people and will drive up costs across public health systems. To truly reduce this impact, it’s not enough to advocate for policy change. We must move beyond engagement washing to meaningfully engage and activate members with solutions that address their immediate needs.

Pyx Health empowers you to genuinely connect with members. By integrating food box delivery into our care pathways, we integrate immediate nutritional support and educational resources into member engagement and empower members to address food insecurity. Home-delivered food boxes ensure that the most vulnerable — seniors, people with disabilities or those without transportation — can prevent the physical and mental health deterioration that comes from both food insecurity and social isolation.

For more information about activating member engagement and solutions to food insecurity, explore Pyx Health today.