The 2006 federal budget, passed in February 2006, includes net cuts to Medicaid of $4.8 billion over the next five years and $26.1 billion over the next ten years. This six-page Kaiser Commission on Medicaid and the Uninsured brief looks at what areas of Medicaid will be cut and how families and states may be affected—including the introduction of co-payments and cost-sharing for low-wage families.