Overview

• The House Energy and Commerce Committee unveiled a bill cutting $880 billion from Medicaid over a decade to help finance an extension of Trump’s 2017 tax cuts.
• The proposal includes work requirements for able-bodied adults, biannual eligibility verifications, and $35 per-service cost-sharing capped at 5% of income.
• Speaker Mike Johnson ensured the bill excludes deeper structural cuts, such as per-beneficiary caps and reductions to federal matching rates, to secure moderate Republican support.
• The Congressional Budget Office estimates the changes could leave 8.6 million people without health insurance by 2034.
• Democrats and healthcare advocates argue the cuts will harm vulnerable populations, destabilize hospitals, and increase administrative burdens, with some warning of life-threatening consequences.