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House Republicans Propose $880 Billion Medicaid Cuts Over 10 Years

New legislation aims to impose work requirements and eligibility checks, with CBO projecting millions could lose coverage by 2034.

U.S. Sen. Tammy Baldwin (D-WI) speaks as Sen. Patty Murray (D-WA) (4th R) and Sen. Maria Cantwell (D-WA) (2nd R) listen during a news conference on the budget reconciliation bill at the U.S. Capitol on May 14, 2025 in Washington, DC.
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Overview

  • The House GOP's proposed budget includes $880 billion in Medicaid cuts over the next decade to fund tax breaks and other priorities.
  • Cuts focus on work requirements and anti-fraud measures, with no per-capita caps or reductions in federal matching funds.
  • CBO estimates at least 8.6 million Americans could lose Medicaid coverage by 2034, disproportionately affecting low-income and disabled populations.
  • Experts argue work requirements create administrative barriers without improving employment, while limiting state financing options could lead to reduced benefits or enrollment.
  • Beneficiaries and advocates express fears about devastating impacts on health and financial security, as moderate Republicans signal resistance to the bill.