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GOP Governors Mum as Congress Prepares to Slash Medicaid Spending for Their States

  • On July 1, the Senate narrowly passed a bill in Washington, D.C., that includes Medicaid work requirements and significant spending cuts as part of Trump's megabill.
  • This legislation follows a 2017 Republican-led effort that aimed to slash about $1 trillion in Medicaid spending over 10 years amid fewer moderate GOP governors than before.
  • The bill restricts provider taxes that states impose on health care institutions, imposes more paperwork demands on enrollees, and requires many to prove workforce participation.
  • Opponents like Gov. Kathy Hochul warn the bill could devastate hospitals and cause over 34,000 job cuts, while Sen. Justice's spokesperson said the bill strikes a balance between protection and rooting out waste.
  • The Medicaid cuts will create multibillion-dollar gaps in state budgets as many red-state Republican governors remain publicly silent, providing political cover for GOP lawmakers.
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npr broke the news in Washington, United States on Thursday, July 3, 2025.
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