NEW REPORT: GOP Plan to Gut Medicaid Could Rip Away Affordable Health Care From Millions of Americans
May 7, 2025

A new report shows that no matter how Donald Trump and the GOP attempt to spin their reckless agenda, the truth is that under Republicans’ disastrous plans, millions of hardworking Americans could lose their health care to pay for another tax break for billionaires. Trump and his MAGA cronies have made it clear they have no interest in supporting working families — just passing another tax handout for the ultra-wealthy.
NEW REPORT: No matter how Donald Trump and the GOP try to spin their disastrous plan to gut Medicaid, several proposed policies would leave millions of Americans uninsured.
Congressional Budget Office: “[GOP] Options 1 through 4 would reduce the resources available to states to fund Medicaid programs, either in the form of smaller reimbursements or smaller tax revenues from providers …
“[I]n response to the loss of the other half of the resources, states would modify their Medicaid programs and reduce Medicaid spending using three levers: reduce provider payment rates, reduce the scope or amount of optional services, and reduce Medicaid enrollment. …
“CBO projects, some states that would expand [ACA] eligibility for Medicaid in the agency’s baseline projections would no longer do so … [and] CBO expects that states would reduce enrollment by eliminating optional coverage categories and by changing enrollment policies and procedures to make enrollment more challenging to navigate. …
“Under each of those options, Medicaid enrollment would decrease and the number of people without health insurance would increase. …
“Option 1. Reduce Expansion Population Matching Rate … Increase in Uninsured People … 2.4 [million] …
“Option 2. Limit State Taxes on Health Care Providers … Increase in Uninsured People … 3.9 [million] …
“Option 3. Cap on Spending Per Enrollee [for] All Eligibility Groups … Increase in Uninsured People … 2.9 [Million] …
“Option 4. Cap on Spending Per Enrollee [for] Expansion Only … Increase in Uninsured People … 1.5 [million] …
“Option 5. Repeal Eligibility and Enrollment Final Rule … Increase in Uninsured People … 0.6 [million].”
REMINDER: At Trump’s request, House Republicans advanced their disastrous funding agenda to gut critical programs like Medicaid while making permanent Trump’s tax handouts for his billionaire backers.
Libbey Dean, NewsNation: “Budget blueprint PASSES House 216-214”
Trump: “It is IMPERATIVE that Republicans in the House pass the Tax Cut Bill, NOW! Our Country Will Boom!!!”
NBC News: “Senate Republicans released a new budget blueprint Wednesday that would pave the way for … making President Donald Trump’s 2017 tax cuts permanent.”
KFF: “Congress is currently targeting up to $880 billion or more in federal Medicaid spending reductions. The House passed a budget resolution instructing the House Energy & Commerce Committee (E&C) to reduce the federal deficit by at least $880 billion over 10 years. Although the budget resolution does not mention Medicaid, Medicaid comprises $8.2 trillion out of the $8.6 trillion in mandatory spending that E&C must use to come up with spending reductions (assuming Medicare cuts are off the table). As a result, major cuts to Medicaid are the only way to meet the House’s budget resolution required $880 billion (or more) in spending reductions.”
Trump and the GOP’s plan to gut Medicaid and threaten health care for 79 million Americans will devastate seniors, children, and rural folks.
In his FY18, FY19, FY20, and FY21 budgets, Trump repeatedly proposed hundreds of billions in cuts to Medicaid.
KFF Health News: “Republicans in Washington say they plan to use funding cuts and regulatory changes to dramatically shrink Medicaid, the nearly $900-billion-a-year government health insurance program that, along with the related Children’s Health Insurance Program, serves about 79 million mostly low-income or disabled Americans. …
“Advocates for poor people fear GOP funding cuts will leave more Americans without insurance, making it harder for them to get care. …
“If the GOP’s plans to shrink Medicaid are realized, Democrats and health experts say, low-income people forced to buy private insurance would face challenges paying monthly premiums and the large copayments and deductibles common to commercial plans that typically don’t exist in Medicaid.”
Center on Budget and Policy Priorities: “President Trump has made clear that his goal remains to repeal the Affordable Care Act (ACA), including its expansion of Medicaid to low-income adults, and to impose rigid caps on the federal government’s Medicaid spending.”
ProPublica: “The Trump Administration Cracked Down on Medicaid. Kids Lost Insurance.”
New York Times: “Medicaid Cuts May Force Retirees Out of Nursing Homes”
Georgetown University Center for Children and Families: “Cuts to Medicaid Will Shift Costs to Families, Providers and Will Be Especially Harmful to Rural Communities”
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