Today, ahead of the markup this week for House Republicans’ disastrous budget bill that will gut Medicaid and could leave millions of constituents in Republican-held districts without health care coverage, new reporting from CNN shows the states and districts that stand to lose the most if this bill is passed. 

A reminder: The DNC and DCCC announced the “Fight to Save Medicaid” May month of action targeting Reps. Brian Fitzpatrick, Don Bacon, Tom Barrett, and Mike Lawler to pressure them to stand up for their constituents and vote “no” on this bill. 

In response to new reporting highlighting how vulnerable House Republicans are at risk of losing their seats if the GOP’s budget bill that slashes Medicaid passes, DNC Chair Ken Martin released the following statement: 

“While Donald Trump implodes the economy, House Republicans are championing a budget bill to rip a health care lifeline from millions of their constituents. Instead of standing up for the very people who sent them to Washington, House Republicans like Reps. Brian Fitzpatrick, Don Bacon, Mike Lawler, and Tom Barrett would rather sell out their communities to suck up to Donald Trump and his billionaire backers. Make no mistake: If Republicans vote for Medicaid cuts, they will kiss their majority goodbye.”

CNN: Here are the states and districts that depend on Medicaid the most, in 3 charts

By Annette Choi and Lauren Fox

• While most Republican districts aren’t heavily reliant on the program, Speaker Mike Johnson’s historically tight margin in the House means that he can only afford a handful of Republican “no” votes to pass any changes to Medicaid without Democrats’ help.

• Among those 64 Republican lawmakers who represent high-enrollment districts, five of them won their races in November within a tight 5-point margin: Reps. Nick Begich (AK-AL), Juan Ciscomani (AZ-6), Ken Calvert (CA-41), Jeff Hurd (CO-3) and Rob Bresnahan (PA-8).

• Republicans representing districts with high Medicaid enrollment rates could face more pressure to break from party lines on a vote to cut funding for the program — particularly those who won in close races last year and those who outperformed Trump, including those who ran as moderates. A group of moderate House Republicans — including Bresnahan, Ciscomani and Hurd — reminded House leadership in a letter that they “helped to deliver a Republican Majority” and would not support a bill that included cuts to Medicaid benefits.

• There are also a number of GOP senators who have expressed concerns about backing any proposal that fundamentally reshapes or cuts Medicaid benefits, including Sen. Josh Hawley who said earlier this year, “I am very skeptical about cuts to Medicaid that result in any benefit cuts.”

• Of all states with two GOP senators, Alaska has the highest enrollment rate, ranking fourth nationwide, as of December 2024 — with one in three residents enrolled in the program for health care. Sen. Lisa Murkowski has pledged to protect access for Alaskans and fight cuts to the program.

• Louisiana, represented by Republican Sens. John Neely Kennedy and Bill Cassidy, also ranks in the top five states with the highest Medicaid and CHIP enrollment rates.