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4d ago

House Advances $715 Billion Medicaid Cuts Proposal to Full Vote

The plan includes work requirements and frequent eligibility checks, sparking concerns over coverage losses and health equity impacts.

Democratic members of the House Energy and Commerce Committee hold signs with people on Medicaid during a full committee markup session for the Republican’s sweeping domestic policy bill on Capitol Hill in Washington on May 13, 2025. (Eric Lee/The New York Times)
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Overview

  • The House Energy and Commerce Committee has advanced a budget proposal featuring $715 billion in Medicaid and ACA cuts over the next decade to the full House for consideration.
  • Key provisions include work requirements for able-bodied adults without dependents starting in 2029 and semiannual eligibility verifications, raising barriers to enrollment.
  • The Congressional Budget Office estimates that the proposed cuts could result in 7.6–8.6 million Americans losing healthcare coverage within 10 years, disproportionately affecting children, low-income adults, and Black communities.
  • Advocates and health providers warn of exacerbated racial and regional health disparities, increased uncompensated care costs, and financial strain on states like Pennsylvania, where Medicaid covers nearly 3 million residents.
  • The cuts are tied to funding extensions for Trump-era tax breaks, highlighting divisions among Republicans and prompting mobilization from Democrats, AARP, and healthcare stakeholders.