Susceptible and reasonable Home Republicans are warning Home GOP leaders that they won’t assist the “one big beautiful bill” encompassing President Trump’s legislative agenda if it contains cuts to Medicaid advantages.
Twelve Home Republicans in aggressive districts — greater than sufficient within the Home GOP’s razor-thin majority to maintain the invoice from passing — despatched a letter to Speaker Mike Johnson (R-La.), Home Majority Chief Steve Scalise (R-La.), Home Majority Whip Tom Emmer (R-Min.), and Power and Commerce Committee Chair Brett Guthrie (R-Ky.) on Monday articulating that crimson line.
“We cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations,” the members stated within the letter led by Rep. David Valadao (R-Calif.) and Rep. Don Bacon (R-Neb.), which was first reported by Punchbowl Information and obtained by The Hill.
The warning comes as Republicans in Congress are beginning to craft particulars of the reconciliation invoice that’s set to incorporate key elements of Trump’s agenda, together with extension of tax cuts and border funding. The Home final week cleared a finances decision framework for the measure, regardless of steep calls for from fiscal hawks for spending reductions to offset the price of different priorities — cuts that many moderates fear might threaten Medicaid protection that their constituents depend on.
“Balancing the federal budget must not come at the expense of those who depend on these benefits for their health and economic security,” the members stated.
The finances blueprint accepted final week directs the Home Power and Commerce Committee, which has jurisdiction over Medicaid, to find $880 billion in spending cuts over the following decade — a determine that analysts say is mathematically not possible with out making modifications to Medicaid, which gives well being protection to low revenue people.
Republican leaders say that they solely need to root out waste, fraud, and abuse in Medicaid, and to implement work necessities for able-bodied adults. Those that signed the letter famous their settlement for some reforms.
“We acknowledge that we must reform Medicaid so that it is a strong and long-lasting program for years to come. Efficiency and transparency must be prioritized for program beneficiaries, hospitals, and states. We support targeted reforms to improve program integrity, reduce improper payments, and modernize delivery systems to fix flaws in the program that divert resources away from children, seniors, individuals with disabilities, and pregnant women – those who the program was intended to help,” the members stated within the letter.
Later within the letter, the members stated they’re prepared to “identify responsible savings” in Medicaid “through deregulation, streamlining federal programs, and cutting administrative red tape.”
However Democrats are digging in exhausting on plans by Republicans to chop Medicaid — and people in aggressive districts are clearly feeling the stress.
Together with Valadao and Bacon, the Republicans who signed the letter are largely reasonable members from the extra aggressive districts within the nation: Reps. Jeff Van Drew (N.J.), Rob Bresnahan (Pa.), Juan Ciscomani (Ariz.), Jen Kiggans (Va.), Younger Kim (Calif.), Rob Whittman (Va.), Nicole Malliotakis (N.Y.), Nick LaLota (N.Y.), Andrew Garbarino (N.Y.), and Jeff Hurd (Colo.).
“Cuts to Medicaid also threaten the viability of hospitals, nursing homes, and safety-net providers nationwide. Many hospitals—particularly in rural and underserved areas—rely heavily on Medicaid funding, with some receiving over half their revenue from the program alone. Providers in these areas are especially at risk of closure, with many unable to recover. When hospitals close, it affects all constituents, regardless of healthcare coverage,” the members stated.
“To strengthen Medicaid, we urge you to prioritize care for our nation’s most vulnerable populations. Our constituents are asking for changes to the healthcare system that will strengthen the healthcare workforce, offer low-income, working-class families expanded opportunities to save for medical expenses, support rural and underserved communities, and help new mothers,” the members stated.
