Overview

• House Republicans continue negotiations to meet a $880 billion Medicaid savings target, focusing on work requirements, eligibility checks, and state funding shifts while avoiding changes to ACA expansion match rates for now.
• Conservative groups, including the American Action Network, have launched ad campaigns claiming Republicans are protecting Medicaid, despite their budget resolution requiring significant program cuts.
• The Congressional Budget Office warns that proposed measures could result in millions losing coverage, with red and lower-income states facing the greatest financial strain.
• Speaker Mike Johnson has ruled out immediate changes to Medicaid expansion funding but remains open to other cost-cutting measures, such as closing provider tax loopholes.
• Moderate Republicans are showing increasing support for work requirements and frequent eligibility checks, though these alone would not achieve the full budget savings goal.