Medicade is funded by both Federal and States, however 40 of the States plus D.C have already expanded medicaid so that unemployed people, no income people and low income people that don't meet Federal requirements basically get free coverage anyway which include doctor visits, hospital care, prescriptions and more. 10 States have stricter eligibility, if your poor don't live in those States.
So in 40 States everyone going to still get medical, obviously the States will foot the bill. Not sure what will happen in the other 10 States but they'll likely end up sorting something out.
It's like he's shifting more responsibilty onto the States with the Federal cuts.
Similar thing with SNAP or foodstamps, at the moment funded by both Feds and States, Trump cutting or shifting 25% to 50% of it's SNAP funding and making the States pay it, the States also have SNAP supllemental programs for people that don't meet Fed SNAp requirements.
So a lot of the so called cuts are more of a shift to increase State funding which cuts Federal funding. I don;t think the CBO estimates have taken into account what the States will do and their extra funding requiremeets which replace some of the federal cuts and i don't see them mention that the 40 of the states fund the ineligible people already, the CBO seems to try and make it look as bad as possible for the sheep to look at with disclaimers like, the Bill could get ammended in the Senate and also say they are unsure of the State responses/actions.