Majority in Congress seeking major funding cuts to Medicaid, a nearly $900 billion program

Jeffrey A. Newman

Republicans leaders Washington are planning funding cuts and regulatory changes to shrink Medicaid, a nearly $900-billion-a-year government health insurance program. This serves nearly 80 million low income or disabled Americans. House Budget Committee Chair Jodey Arrington (R-Texas) told KFF Health News that Medicaid and other federal entitlement programs need major changes to help cut the federal debt. ā€œWithout them, we will watch this country sadly enter into fiscal collapse.ā€ Rep. Chip Roy (R-Texas), a member of the Budget Committee, said Congress needs to explore cutting federal spending on Medicaid. ā€œYou need wholesale reform on the health care front, which can include undoing a lot of the damage being done by the ACA and Obamacare,ā€ Roy said. ā€œFrankly, we could end up providing better service if we do it the right way.ā€ā€œMedicaid is an obvious target for huge cuts,ā€ said Joan Alker, executive director of Georgetown Universityā€™s Center for Children and Families. ā€œAn existential fight about Medicaidā€™s future likely lies ahead.ā€ Medicaid, which turns 60 in July, is nearing the end of a disruptive period, after COVID pandemic-era coverage protections expired in 2023 and all enrollees had to prove they still qualified. More than 25 million people lost coverage over the 18 months after the ā€œunwindingā€ began, though it has not notably increased the number of people without insurance, according to the latest census data.

The proposals include rolling back the Affordable Care Act‘s expansion of Medicaid, which over the last 11 years added about 20 million low-income adults to its rolls. Trump has said he wants to drastically cut government spending, which may be necessary for Republicans to extend 2017 tax cuts that expire at the end of this year.

Jeff Newman JD MBA, represents whistleblowers nationwide relating to customs and tariff fraud concerning imported Chinese goods as well as corporate whistleblowers in major claims under the False Claims Act (Qui Tam), and SEC, CFTC and FINCEN whistleblower programs. He can be reached at Jeff@JeffNewmanLaw.com or at 617-823-3217