Overview

• Senate Republicans including Susan Collins, Lisa Murkowski and Josh Hawley have signaled red lines on deep Medicaid reductions and are drafting amendments to the House bill.
• The Congressional Budget Office projects the legislation would slash about $700 billion from Medicaid and strip coverage from roughly 8.6 million people.
• The proposal mandates able-bodied, childless adults under 65 to work, volunteer or train for 80 hours per month to maintain Medicaid eligibility beginning end of 2026.
• Additional provisions call for semiannual eligibility reviews, legal-status verifications and reduced federal funding for states providing health care to undocumented migrants.
• Democrats have labeled the measure a “tax scam” that sacrifices health care for low-income Americans to fund tax cuts, while Republicans frame it as refocusing Medicaid on the needy and curbing fraud.