States bear the brunt of House GOP Medicaid plan

[BumRushDaShow]

Source: Politico

05/11/2025 10:56 PM EDT
Updated: 05/11/2025 11:54 PM EDT


House Republicans opted against some of the most dramatic changes they had been considering for Medicaid, the joint federal-state program covering nearly 80 million Americans. But they are plowing forward with other major initiatives that could leave millions without coverage as the GOP starts laying out key provisions of its party-line domestic policy megabill.

The House Energy and Commerce Committee proposal released Sunday night attempts to strike a balance between satiating conservatives’ thirst for deep cuts to the program and placating moderates wary of major coverage losses for low-income Americans.

It does not include the most controversial ideas, including per-capita caps on federal Medicaid payments to states, but it incorporates new mandates that will likely force states to revamp how they finance their programs or cut benefits. The health provisions also include new work requirements that are expected to lead many people to lose coverage, as well as a new cost-sharing requirement for some beneficiaries in the program, not to exceed five percent of a patient’s income.

The Energy and Commerce plan also hits on hot-button social issues — proposing, for instance, to cut federal funding for groups like Planned Parenthood and ban the use of Medicaid dollars for gender-affirming care for youth. It also scales back funding from states that use their own funds to offer coverage for undocumented people.

Read more: https://www.politico.com/news/2025/05/11/energy-and-commerce-unveils-its-megabill-plans-00339830

[Ray Bruns]

1. It's not like we didn't warn everyone.

[mitch96]

2. It's gonna be interesting to see how poor red states are gonna deal with this. The infamous " death panels"

they so feared with Obama care....?
m

[Vinca]

3. Watch for hospitals in red states to close their doors. They need Medicaid to survive.

[Bayard]

4. I'm afraid of what's going to happen here in Kentucky,

When we lose Gov. Beshear in office.

[LauraInLA]

5. I don't know what California is going to do, as we do provide coverage for our undocumented residents.

If the Feds take away our Medicaid funds, I don’t know how we’ll cover everyone with our budget shortfall. Bleh.

[et tu]

6. glad pa got rec.

marijuana approved- should help
bring in revenue
extreme right wingers hopefully
will pay at the ballot box

[BumRushDaShow]

8. Not approved YET - just in the (D)-controlled state House

There is concern that the loons in the state Senate will kill it. I would hope they wouldn't because it would bring in revenue and would be "state controlled" like the wine and spirits (if that is a concern)... but we shall see.

I never thought I'd see Medical MJ approved, let alone mail ballots, but here we are.

[et tu]

9. thank you for the 411

my wishful thinking is getting the best of me!
i just feel revenue and regulation is the way to go.

[patphil]

7. When Medicaid fails, and people are dying, they want to blame it on the states.

The states need those Federal dollars to run the programs the Federal Government is destroying.
So, the tax burden of the American taxpayer isn't going to go down much (if at all), but the amount of service they get for their tax dollars is going to crater.
All the money is going to pad the bank accounts of the super rich.
It's like a form of ethnic cleansing, but instead it's based on financial need. The poor will get less of everything, and some will die. The rich will get more of everything they want, and enjoy their newfound riches.
And yet we're told that the immigrants are the problem, and that government waste and corruption is the problem.
The only part that's truth is the corruption part. Republicans have institutionalized greed.
It's now their motto: Greed Over People.