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GOP Faces Internal Struggle Over $880 Billion Medicaid Cuts in Reconciliation Bill

House Republicans clash over Medicaid reductions as moderates resist deep cuts, hardliners push for reforms, and Trump signals reluctance to cut benefits.

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President Donald Trump during a Cabinet meeting at the White House on April 30.
File photo: protestors holding a Medicaid sign.

Overview

  • House Republicans are negotiating a reconciliation bill requiring $880 billion in Medicaid savings to fund $4.5 trillion in tax cuts and other priorities.
  • Moderate Republicans, including Rep. Don Bacon, oppose cuts exceeding $500 billion, citing potential harm to vulnerable populations and hospitals.
  • Hardline conservatives demand reforms like work requirements and per-capita caps, arguing these are necessary to meet fiscal goals and offset tax cuts.
  • President Trump has publicly opposed Medicaid benefit cuts, emphasizing a focus on eliminating waste, fraud, and abuse rather than reducing coverage.
  • Polling shows strong public opposition, with 76% of Americans rejecting Medicaid cuts, increasing pressure on lawmakers ahead of the Memorial Day deadline.