Roughly $715 billion in cuts to Medicaid, while adding $2–3 trillion to the deficit (based on various estimates).
Work reporting requirements which will take effect in December 2026, an accelerated timeline that was a last minute change.
Caps to provider taxes — the way a significant majority of states pay for their share of Medicaid — making it hard for states to fill the gaps in funding.
What's Next
Action now moves to the Senate where Majority Leader John Thune (R-SD) has signaled they will look for $600 billion in cuts to Medicaid to pay for the expiring Tax Cuts and Jobs Act.
While Senate Republican leaders continue to publicly indicate their plans to hold a floor vote before July 4, the ideological makeup of their majority will almost certainly require further major changes to the text of the bill to secure passage—meaning additional negotiations with the more right-leaning House.
This means that we still have a significant opportunity to impact the outcome.
NOTE: While all senators should be engaged/contacted, please refer to our Senate target list where most immediate outreach is needed.
What You Can Do Now: Outreach to the Senate is at a Critical Stage
Here We Stand. For People. For Care. For Medicaid.
Use our newly developed Medicaid messaging and related resources for ongoing advocacy and communications to defend and strengthen Medicaid:
The messaging toolkit for our “Here We Stand” campaign which includes templates to use for outreach to members of Congress and the media.
The recording of our recent webinar which includes a walk-through of the messaging and how to use the communications resources.
Reach out to your Senators to request in-person or virtual meetings to highlight the impact of proposed House cuts to Medicaid and urge them to vote against cuts to Medicaid that will limit eligibility and enrollment—input your address to identify your lawmakers and find their contact information.
As states also fund a significant share of Medicaid funding, please communicate with your governor’s office about the impact of any Medicaid cuts.
Stay Tuned
Register now to join us for the next webinar in our “Capitol Conversations” series on June 12 at 1 p.m. ET. We will be sharing the latest updates on the budget reconciliation process and the impact on Medicaid and nonprofits.
For more information, please contact Sarah Dobson, Senior Director of Public Policy and Advocacy.
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