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yesterday

Hawley Moves to Repeal Medicaid Cuts He Endorsed in One Big Beautiful Bill

Sen. Hawley’s Protect Medicaid and Rural Hospitals Act reverses provider tax caps to expand rural hospital funding ahead of Medicaid changes in 2026–28.

Sen. Josh Hawley (R-Mo.) gestures toward a crowd of supporters of President Donald Trump gathered outside the U.S. Capitol to protest the certification of President-elect Joe Biden's electoral college victory Jan. 6, 2021 at the US Capitol in Washington, DC. Some demonstrators later breached security and stormed the Capitol.
Sen. Josh Hawley, R-Mo., talks with reporters after the Senate luncheons in the Capitol on Tuesday.
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Overview

  • The Protect Medicaid and Rural Hospitals Act would repeal the provider tax moratorium, restore state provider tax authority, remove caps on state-directed payments and double the rural health transformation fund to $100 billion over ten years.
  • Hawley supported the reconciliation package that enacts nearly $1 trillion in Medicaid rollbacks, which the CBO and American Hospital Association estimate will add 7.8 million uninsured and strip $50.4 billion from rural hospitals over the next decade.
  • The Missouri Republican denounced Medicaid cuts as “morally wrong and politically suicidal” before voting for the One Big Beautiful Bill and now faces Democratic charges of hypocrisy for trying to reverse his own vote.
  • Most of the law’s Medicaid provisions are slated to phase in between 2026 and 2028, creating a brief window for Congress to amend or overturn key changes.
  • Senators from both parties, including moderates concerned about rural health, are exploring further amendments to work requirements, payment caps and provider tax rules.