Overview

• House Speaker Mike Johnson has confirmed that federal Medicaid funding cuts, including FMAP reductions and per capita caps, are no longer being pursued.
• The Congressional Budget Office's latest analysis projects millions could lose insurance under alternative GOP Medicaid reforms, such as work requirements and eligibility checks.
• Moderate Republicans from swing districts have resisted steep cuts, pressuring leadership to scale back proposals targeting Medicaid beneficiaries.
• Hardline conservatives continue to demand deeper Medicaid cuts to achieve $880 billion in savings, creating tension within the narrow GOP majority.
• Democrats and health advocates warn the remaining Medicaid reforms would still harm vulnerable populations, framing the proposals as the largest Medicaid cuts in U.S. history.