GOP senators raise red flags over House’s ambitious Trump legislative package

An ambitious House bill to cut taxes by hundreds of billions of dollars and pay for part of it by slashing Medicaid spending faces a rocky path in the Senate, where Republican lawmakers warn the changes to the safety net program could hurt rural hospitals and reduce benefits for their constituents.

Republican senators are also raising red flags about the House plan’s phase-out of renewable energy tax credits and what they’re calling an inadequate attempt to reduce the ballo...

The Movement: The think tank at the center of the MAGA Medicaid firestorm

A young, well-connected think tank is at the center of Republicans’ efforts to reform Medicaid as part of President Trump’s “one big beautiful bill” — and the divide in the party about how far to go with cuts. 

Here’s one sign of the impact of Paragon Health Institute, founded in 2021 and led by former first Trump administration economic adviser Brian Blase: Metadata for a letter Rep. Chip Roy (...

CBO: House GOP plan exceeds $880B savings target

The Energy and Commerce Committee, which has jurisdiction over Medicaid, surpassed its target of finding $880 billion in savings to help pay for legislation to extend President Trump’s tax cuts and other priorities, according to the Congressional Budget Office (CBO). 

In a brief letter to Energy and Commerce Committee Chair Brett Guthrie (R-Ky.), the CBO said the committee’s reconciliation recommendations would reduce deficits by more than $880 billion by 2034 and “wou...

Hawley warns GOP Medicaid cuts are ‘morally wrong and politically suicidal’

Sen. Josh Hawley (R-Mo.) is warning against his own party’s push to slash Medicaid spending, just hours after House Republicans released legislation that could save billions of dollars and make millions of people lose health insurance coverage. 

Hawley wrote in an op-ed published Monday in The New York Times that paying for President Trump’s domestic agenda by slashing health care for the working poor “is both morally wrong and politically suicidal.” 

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Republicans unveil steep cuts to Medicaid in portion of Trump tax bill

Legislation introduced by House Republicans late Sunday would slash Medicaid spending significantly by imposing new restrictions on Medicaid beneficiaries like work requirements and more frequent eligibility checks, but the most controversial changes floated to the program were not included. 

The bill from the House Energy and Commerce Committee comes ahead of what’s expected to be a marathon committee hearing on Tuesday. 

It appears to cater more to the mo...

House GOP out of sync on Medicaid

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Conservative group: Extend ObamaCare subsidies

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Republicans eye ‘per capita caps’ in Medicaid savings search

House Republicans seeking to thread the needle in Medicaid spending cuts are eyeing "per capita caps," which would throttle federal funding without technically changing benefits.  

The key Republicans who support the proposal argue it is not technically a "cut," seeking to avoid the politically charged label.

But the controversial plan would change the nature of the Medicaid program by putting a cap on federal Medicaid payments to states that expanded th...

House conservatives call for controversial Medicaid changes in reconciliation

A group of House conservatives is calling for significant “structural reforms” of Medicaid as part of the Republican reconciliation legislation, illustrating the seemingly intractable differences across GOP factions.

In a “Dear Colleague” letter led by Rep. Chip Roy (R-Texas) and signed by 19 others, the lawmakers said the GOP conference must pursue “meaningful reforms” in reconciliation, including eliminating the enhanced federal matching funds for states that expanded Med...

GOP wrestles with disagreements over Medicaid cuts

A key House committee is pushing forward with trying to advance its portion of President Trump’s legislative agenda next week, even as Republicans disagree over how deeply to cut Medicaid.

The House Energy and Commerce Committee is planning a May 7 meeting to finalize and advance its portion of the bill, leaving little time for members to iron out differences. The legislation calls for the committee to find $880 billion in savings over a decade, with most of it expected to ...