Overview

• The House Energy and Commerce Committee has released draft legislation proposing $715 billion in Medicaid spending cuts over the next decade to fund sweeping tax cuts.
• Key provisions include work requirements for able-bodied adults, stricter eligibility checks, and penalties for states covering undocumented immigrants under Medicaid.
• The Congressional Budget Office estimates the cuts would leave at least 8.6 million Americans uninsured by 2034 while achieving significant federal savings.
• The proposal has sparked sharp divisions within the Republican Party, with moderates voicing concerns over harm to constituents and hardliners demanding deeper cuts.
• Committee markups are set to begin Tuesday as GOP leaders face tight Memorial Day and July 4 deadlines to secure near-unanimous support in the narrowly divided House.