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The Texas Reporter > Blog > Politics > GOP funds plans would rip well being care away from thousands and thousands
Politics

GOP funds plans would rip well being care away from thousands and thousands

Editorial Board
Editorial Board Published May 7, 2025
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GOP funds plans would rip well being care away from thousands and thousands
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Home Republican plans to slash $880 billion from the federal funds would result in thousands and thousands of People getting booted from their medical insurance, in accordance with a nonpartisan evaluation launched Wednesday.

Democrats requested the Congressional Funds Workplace, a nonpartisan company that analyzes the impacts of laws, to overview modifications that Home Republicans are debating making to Medicaid with a purpose to finance President Donald Trump’s “One Big Beautiful Bill,” which might lengthen his 2017 tax cuts for the wealthy and fund his evil immigration plans.

An indication factors guests towards the monetary providers division at a hospital on Jan. 24, 2014.

The CBO’s report reveals that the various Republican plans would lead as many as 8.6 million low-income People to lose their Medicaid protection and both should pay for protection or go with out insurance coverage.

In analyzing 5 totally different Republican proposals to chop Medicaid spending, the CBO discovered that every one of them would result in many, many People shedding their Medicaid protection.

“Medicaid cuts will result in the federal government paying more and a sicker society overall.  Republicans don’t care as long it means a windfall for billionaires like Elon Musk,” New Jersey’s Frank Pallone, the highest Democrat of the Home Vitality and Commerce Committee who requested the CBO evaluation, mentioned in a Wednesday publish on X.

Probably the most harmful plan that Republicans are debating is ending a tax loophole 49 states use to get extra federal funding for Medicaid expenditures. 

The New York Instances defined how this tax loophole works:

In its easiest kind, the tax maneuver works like this: When a Medicaid affected person goes to the hospital, the federal authorities and state normally share the prices. The ratio varies from one state to a different, relying on how poor the state is, however the federal authorities usually pays round 60 % of the invoice.
 

States that use supplier taxes to get more cash normally begin by paying the hospitals extra. If the federal authorities is paying 60 % and the state 40 %, when a state bumps a fee to $1,030 from $1,000, the federal authorities chips in $618 as a substitute of $600.

If Republicans finish this loophole, it could get Republicans a lot of their desired $880 billion in federal financial savings, however 8.6 million individuals would lose their Medicaid protection, and three.9 million individuals would merely go with out medical insurance altogether, the CBO mentioned.

Subsequent up, the CBO checked out a GOP proposal to cap how a lot Medicaid pays states for every enrollee.

The Hill defined how these per-capita caps would work:

A per-beneficiary cap would essentially change Medicaid from an open-ended entitlement to at least one with strict limits on federal spending. Congress would set a hard and fast quantity per beneficiary for every state to obtain, and states could be accountable for all remaining prices.

The CBO discovered that if Republicans capped spending for all Medicaid enrollees, it could trigger as many as 5.8 million individuals to be kicked off Medicaid, with 2.9 million individuals turning into uninsured.

The CBO additionally checked out Republicans’ plan to decrease the federal medical help share every state receives. Decreasing FMAP charges would negatively influence Republican-controlled states essentially the most, as lots of these states obtain the best FMAP charges. Republican-controlled states make up 9 of the highest 10 states with the best FMAP percentages, in accordance to KFF, a well being information outlet.

If Republicans scale back FMAP charges, 5.5 million individuals would lose their Medicaid protection, and a pair of.4 million would turn out to be uninsured, in accordance with the CBO.



In the end, chopping Medicaid to finance tax cuts that primarily profit the rich is politically poisonous. Polls present voters like Medicaid and don’t need Republicans to make use of cuts to this system to fund Trump’s tax plans.

Weak Republican lawmakers appear to know this, with many all however begging Home GOP management to not make them vote to chop this system.

Home Speaker Mike Johnson allegedly dominated out two of these harmful Medicaid lower plans—the FMAP reductions and per-capita spending caps—Punchbowl Information reported. 

FILE - In this June 27, 2017 file photo, protesters block a street during a demonstration against the Republican bill in the U.S. Senate to replace former President Barack Obama's health care law, in Salt Lake City. The Trump administration will allow Medicaid expansion with a work requirement in Utah, a decision that came Monday, Dec. 23, 2019, despite courts taking a dim view of the requirement in other states. (AP Photo/Rick Bowmer, File)
Protesters in Salt Lake Metropolis block a road throughout an indication in opposition to the Republican invoice to interchange former President Barack Obama’s well being care legislation, in 2017.

Nevertheless, Republican Rep. Don Bacon of Nebraska doesn’t appear to consider that, telling The Wall Road Journal that he’s been pressured to vote for these cuts. 

“Here’s the tactic they’ve been using: ‘Don’t worry about the Senate. They’ll fix it.’ And now we’re getting ready to take our third vote on this,” Bacon, who represents a district that Democrat Kamala Harris gained final 12 months, instructed the outlet. “We feel like we’re being pushed up to the edge of the cliff here.”

In the meantime, Democrats, who’re within the minority in each chambers of Congress and can’t by themselves vote down no matter proposal Republicans choose, are utilizing the CBO report back to warn voters about what would occur if Republicans make these Medicaid modifications.

“This is exactly what we have been ringing the alarm about. Republicans may claim they aren’t cutting Medicaid, but their actions speak louder than words,” Sen. Tammy Baldwin, Democrat of Wisconsin, wrote in a publish on X of the CBO findings. “That’s why I’ll keep fighting their attempts to slash it and rip away care from American families.”

And Democratic Rep. Alexandria Ocasio-Cortez of New York had a extra blunt evaluation of the CBO report.

“Told ya,” she wrote in a publish on X.

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