Key Point: “House Republicans are passing around a ‘menu’ of more than $5 trillion in cuts they could use to bankroll President-elect Donald Trump’s top priorities this year, including tax cuts and border security. The early list of potential spending offsets obtained by POLITICO includes changes to Medicare and ending Biden administration climate programs, along with slashing welfare and ‘reimagining’ the Affordable Care Act.” 

Politico: House GOP puts Medicaid, ACA, climate measures on chopping block

By Ben Leonard, Meredith Lee Hill, Kelsey Tamborrino 

• House Republicans are passing around a “menu” of more than $5 trillion in cuts they could use to bankroll President-elect Donald Trump’s top priorities this year, including tax cuts and border security.
• The early list of potential spending offsets obtained by POLITICO includes changes to Medicare and ending Biden administration climate programs, along with slashing welfare and “reimagining” the Affordable Care Act.
• The people, granted anonymity to discuss closed-door negotiations, said that the list originated from the House Budget Committee, chaired by Rep. Jodey Arrington (R-Texas). Republicans involved in the reconciliation plans have been generally targeting the listed programs for several months
• In addition to Medicaid and ACA cuts, the document floats clawing back bipartisan infrastructure and Inflation Reduction Act funding.
• The policy menu suggests Republicans could capture major savings from Medicaid — up to an estimated $2.3 trillion. The list includes so-called per-capita caps on Medicaid for states, meaning the program would be paid for based on population instead of being an open-ended entitlement, and would institute work requirements in the program.
• It would “recapture” $46 billion in savings from Affordable Care Act health insurance plan subsidies, which are set to expire at the end of the year, setting up a major policy battle. 
• Also on the chopping block are President Joe Biden’s climate policies, which are estimated to yield as much as $468 billion. That includes Trump’s repeated promise to repeal Biden’s “EV mandate,” as well as discontinuing “Green New Deal” provisions from the bipartisan infrastructure law and green energy grants from the IRA.