Overview

• The House reconciliation bill proposes $715–880 billion in Medicaid cuts over the next decade, introducing work requirements, co-pays, and frequent eligibility checks.
• The Congressional Budget Office estimates the plan would result in 8.6 million fewer insured Americans by 2034, sparking nationwide protests and bipartisan criticism.
• Senate Republicans, including Sens. Susan Collins and Josh Hawley, have expressed concerns about the bill’s impact on rural hospitals and provider taxes, signaling amendments to soften these provisions.
• Maryland officials warn the proposed changes could cost the state over $1 billion and strip coverage from approximately 186,000 residents, highlighting the financial strain on states.
• Democratic lawmakers have staged high-profile protests, with Sens. Cory Booker, Tina Smith, and Brian Schatz delivering constituent letters opposing the cuts to House committees.