Millions at Risk: GOP Medicaid Cuts Could Leave 8.6 Million Uninsured, Experts Warn
May 8, 2025
Experts warn that the proposed changes will lead to higher administrative costs and increased potential for coverage loss due to more complex enrollment processes.
Historical data from Arkansas indicates that work requirements previously resulted in over 18,000 individuals losing Medicaid coverage, raising concerns about similar federal initiatives.
A recent Congressional Budget Office report reveals that millions of Americans could lose Medicaid coverage under various Republican proposals aimed at cutting federal spending.
The introduction of work requirements for Medicaid is expected to exacerbate coverage loss among beneficiaries, particularly affecting those with sudden health needs or residing in nursing homes.
One significant proposal includes limiting state taxes on health care providers, which could save $668 billion but leave 8.6 million individuals without Medicaid, increasing the uninsured population by 3.9 million by 2034.
Past experiences in Arkansas with work requirements did not lead to improved employment rates and highlighted issues such as low awareness among recipients and bureaucratic hurdles.
Current discussions indicate a disconnect between state-level experiences and federal legislative proposals, with many states urging caution and adjustments based on previous failures.
Ongoing negotiations in the House are contentious, with several committees, including Energy and Commerce and Ways and Means, preparing for markups on the proposed Medicaid cuts.
House Speaker Mike Johnson faces challenges in garnering support for the tax bill, particularly amid economic anxieties linked to President Trump's policies, which have raised concerns about increasing uninsured rates.
Congresswoman Gwen Moore has expressed strong opposition to the proposed Medicaid cuts, emphasizing their detrimental impact on vulnerable populations in Wisconsin who rely on BadgerCare.
The proposed Medicaid cuts are part of a broader tax and spending package aimed at avoiding a Senate filibuster, but may not achieve the $880 billion savings target required for budget reconciliation.
Hardline conservatives within the House Freedom Caucus continue to push for deeper cuts to Medicaid, despite waning support for some proposed changes.
Summary based on 16 sources
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Sources

AP News • May 7, 2025
House Republicans back off some Medicaid cuts for Trump budget | AP News
Newsweek • May 7, 2025
Medicaid Update: Republicans Scaling Back Cuts Amid House Tax Break Battle
The New Republic • May 5, 2025
The Republican Budget Plan Could Kick Millions Off Medicaid