At least 20 states were unable to draw funds from an HHS payment system hours after the White House ordered a pause on the disbursement of grants and loans.

Just one day after the White House announced the federal funding freeze, the Medicaid payment portal went down, according to Trump's Press Secretary Karoline Leavitt.

Medicaid reimbursement portals were down in all 50 states on the heels of a funding freeze ordered by the Trump administration of federal grants and loans, Sen. Ron Wyden, D-Ore., said. The shutdown in access to the Medicaid system came a day after the acting Office of Management and Budget Director Matthew Vaeth issued a memo ordering a “Temporary

President Donald Trump's order to pause all federal grants and loans sowed widespread confusion on Tuesday over its impact on far-reaching programs such as Medicaid, sending nonprofits and government agencies scrambling to understand its scope and prompting immediate legal challenges.

"The White House is aware of the Medicaid website portal outage," White House press secretary Karoline Leavitt said in an X post. "We have confirmed no payments have been affected -- they are still being processed and sent. We expect the portal will be back online shortly," she added.

A judge has postponed a Trump administration pause on grant, loan and other financial assistance programs at the Office of Management and Budget.

Federal agencies must pause virtually all financial assistance at 5 p.m. today under a new budget directive, threatening funding for providers and creating significant uncertainty for Medicaid payments to states.

Protect Our Care, a liberal advocacy group, is launching a $10 million “Hands Off Medicaid” campaign that targets 17 GOP lawmakers.

President Donald Trump's administration's order to pause all federal grants and loans starting on Tuesday triggered confusion in the U.S. health system, with Democratic lawmakers saying states were having trouble accessing Medicaid funds,

The move represented the new president’s most audacious effort yet to disrupt the nation’s spending priorities.

As the White House paused federal grants and loans in a far-reaching executive order, early childhood education centers and states discovered Tuesday they could no longer access money they rely on to provide care for some of the nation’s neediest families and children.