Medicaid: What We're Hearing on the Hill
Reconciliation 3.0 – Expected House Action
House Republicans plan to mark-up a budget resolution on Wednesday, which they will use to advance another round of budget reconciliation legislation. This is an important time for federal policymakers on Capitol Hill to hear from you about the importance of "no more cuts to Medicaid."
TAKE ACTION NOW:
Here We Stand.
For People. For Care. For Medicaid.
Four ways to stand with the people we serve as Medicaid changes take effect — starting with the August recess.
→ Take action in two minutes. Use our turn-key advocacy tool to send a message to your lawmakers urging them not to make further cuts to Medicaid funding.
→ Schedule an in-district meeting. Members of Congress are home during the August recess. Our Action Guide walks you through the ask.
→ Share your impact story. How are Medicaid changes affecting your organization and the people you serve? Share your insights with us.
→ Explore the full toolkit. Messaging materials to lead the conversation in your community.
Our Recent Hill Meetings
LSA staff recently held a series of meetings with key House and Senate offices — including staff for Senate Finance, Senate HELP, House Energy and Commerce, and House Ways and Means, along with Montana, Nebraska, and Iowa offices — to discuss the impact of H.R. 1's Medicaid changes and gather insight on a potential third budget reconciliation package.
What did we learn?
- Work reporting requirements are rolling out state by state. Staff noted that Nebraska's rollout is underway, with Iowa, Montana, and Arkansas beginning soon. Offices asked to stay informed as implementation continues.
- Views on how a third reconciliation bill will proceed vary. Some staff believe a package is likely to pass the House but face hurdles in the Senate while others noted they were only aware of early-stage discussions centered on tax policy. Committee jurisdiction and timing for each step of the process remain as open questions.
- The DOJ Olmstead statement is drawing concern. Multiple offices raised alarm about the statement's implications for home and community-based services and encouraged strong advocacy on the issue.
- Congress wants to hear from you. Nearly every office asked for the same things: personal stories, data — including estimates of coverage loss — and local news coverage showing district-level impact. One committee also suggested submitting formal comments on the Interim Final Rule on work reporting requirements.
