The impending cuts to Medicaid, set to go into effect in 2027 under the One Big, Beautiful Bill Act, have heightened anxiety among Minnesota's addiction treatment providers. However, two of the state's most recognized providers, Hazelden Betty Ford Foundation and The Retreat, don't rely on Medicaid, making them less vulnerable. Concerns have been raised about access to care for substance use disorder and the well-being of the recovery community. Hazedlden's CEO, Joseph Lee, defended the organization's choice to limit treatment mostly to commercial insurance or those able to pay out of pocket, stating that the choice makes sense for the organization. However he cautioned that the transition to accepting Medicaid remains small and cautioned that it could help with the conversation and quality. John Curtiss, Retreat president and CEO, expressed concerns about the potential cost-shifting nature of the cuts and potential work requirements for a large number of Medicaid enrollees.