House Advances Controversial Medicaid Bill

a { color: #880000 !important; background: #ffeeee !important; } Latest News from NourishThe Nourish Mission (formerly OneSub)Get answers to today's big questionsHouse Advances Controversial Medicaid BillLegislation > PoliticsOn May 22, 2025, the House Rules Committee approved a contentious Medicaid reform bill after extensive negotiations. The legislation includes work requirements for Medicaid beneficiaries and aims to raise the state and local tax (SALT) deduction cap. It faces opposition from both conservative factions and moderate Republicans, complicating its path to final approval.

What's happened

On May 22, 2025, the House Rules Committee approved a contentious Medicaid reform bill after extensive negotiations. The legislation includes work requirements for Medicaid beneficiaries and aims to raise the state and local tax (SALT) deduction cap. It faces opposition from both conservative factions and moderate Republicans, complicating its path to final approval.

What's behind the headline?

Key Points of the Legislation

Work Requirements: The bill mandates that able-bodied adults without dependents must engage in at least 80 hours of work, community service, or education monthly to qualify for Medicaid.
SALT Deduction: The proposed legislation raises the SALT deduction cap from $10,000 to $30,000, a move that has faced pushback from Republicans in high-tax states.
Impact on Medicaid: Critics warn that the bill could lead to millions losing Medicaid coverage, with estimates suggesting up to 7.6 million could be affected.

Political Dynamics

Divided Republicans: The GOP is split between hardliners who want more aggressive cuts and moderates concerned about the political fallout of reducing Medicaid benefits.
Urgency for Passage: Speaker Mike Johnson and President Trump are under pressure to pass the bill quickly, with Johnson indicating a willingness to keep lawmakers in Washington over the Memorial Day weekend if necessary.

Future Implications

Potential Backlash: Lawmakers from swing districts may face backlash from constituents who rely on Medicaid, complicating their re-election prospects.
Senate Challenges: Even if the House passes the bill, it will face scrutiny in the Senate, where some Republicans have expressed reservations about the proposed cuts.

What the papers say

According to Eric Garcia in The Independent, the House Rules Committee's approval followed more than 24 hours of deliberation, highlighting the tensions within the GOP. Garcia notes that hardline conservatives like Rep. Chip Roy expressed dissatisfaction with the bill's spending cuts, despite concessions made to satisfy moderates. Meanwhile, the NY Post reported that Speaker Mike Johnson aims for a final vote by the end of the week, but ongoing negotiations over SALT deductions could hinder progress. Bloomberg emphasized the urgency of the legislation, framing it as a critical component of Trump's domestic agenda, while also noting the potential for significant political repercussions for vulnerable Republicans.

How we got here

The bill is part of President Trump's broader legislative agenda, which seeks to cut Medicaid spending by $880 billion over the next decade to fund tax cuts. The House Budget Committee approved the bill after intense negotiations, with hardline conservatives demanding deeper cuts and moderates pushing for tax relief measures.

Go deeper

What are the main provisions of the bill?
How will this impact Medicaid recipients?
What are the next steps for the legislation?

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