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House conservatives call for controversial Medicaid changes in reconciliation

  • In early May 2025, House Republicans resumed work in Washington, D.C., advancing a reconciliation bill with Medicaid changes before July 4 deadlines.
  • This effort responds to House conservatives, led by Rep. Chip Roy, pressing reforms to federal Medicaid spending, including ending enhanced funding for ACA expansion states.
  • The bill aims to save $880 billion through cutting provider taxes, reducing eligibility, and considering work requirements despite resistance from moderates and health advocates.
  • Rep. Roy stated, “Federal Medicaid spending has surged,” and argued funding for able-bodied adults should not exceed that for low-income disabled children.
  • The narrow Republican House majority faces internal divisions and unified Democratic opposition, creating uncertainty over the bill’s passage without significant concessions.
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Medicare Rights Center broke the news in on Thursday, May 1, 2025.
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