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Trump-Backed House GOP Budget Faces Resistance Over Potential Medicaid Cuts

Moderate Republicans express concerns about Medicaid reductions as House leaders push for a vote on a sweeping budget resolution.

Man wears MAGA hat while in line to enter Capital One Arena before the second inauguration of President Donald Trump (left) and Medicaid protesters stand outside of a radio station in San Antonio in 2017 (right).
A mother and daughter hold homemade support signs at the Mississippi Medicaid Expansion Rally at the Mississippi State Capitol in Jackson, Tuesday, April 16, 2024.
Speaker of the House Mike Johnson, R-La., arrives to talk to reporters after a closed-door meeting with fellow Republicans to find agreement on a spending bill, at the Capitol in Washington, Tuesday, Feb. 11, 2025. (AP Photo/J. Scott Applewhite)

Overview

  • President Trump endorsed the House GOP's budget plan, which prioritizes his full legislative agenda in a single bill, over a Senate alternative involving two separate bills.
  • The budget resolution proposes $880 billion in Medicaid cuts to meet spending reduction targets, raising concerns among moderate Republicans representing Medicaid-dependent districts.
  • Moderates, including Reps. Valadao, Malliotakis, and Bacon, are withholding support, citing a lack of clarity on how the cuts would impact Medicaid beneficiaries and local healthcare systems.
  • Trump's public statements have been inconsistent, promising to protect Medicaid while supporting a plan that includes significant reductions to the program.
  • Republicans face a narrow margin for passing the resolution, as they can afford to lose only one vote if all Democrats oppose the measure, with a vote expected next week.