Wednesday, April 16, 2025

House Republican "moderates" sign on to gutting the ACA Medicaid expansion

 Note: All xpostfactoid subscriptions are now through Substack alone (still free), though I will continue to cross-post on this site. If you're not subscribed, please visit xpostfactoid on Substack and sign up.

Punchbowl News provides valuable daily intelligence as to the progress of the Republican reconciliation package, but they have this story exactly backwards:'

The red lines begin: A dozen House Republicans say no to big Medicaid cuts

News: If you’re looking for a sign that House Republicans are getting worried about cuts to Medicaid, here it is.

A dozen House Republicans are warning GOP leaders that they won’t back a reconciliation package that includes massive cuts to Medicaid, according to a letter first obtained by Punchbowl News.

What the letter* actually does is sign onto the hard-right Republican plan, advanced by House Energy and Commerce Chair Brett Guthrie, to defund the ACA Medicaid expansion, which covers 20 million low-income adults. Ending the ACA’s 90% federal funding for the expansion population yields $561 billion in “savings” over ten years, according to the Congressional Budget Office. It’s the centerpiece of meeting the $880 billion 10-year cut target established for the Energy and Commerce Committee by the House budget resolution.

Tuesday, April 01, 2025

Tell Congress: Hands off Medicaid!

 

Tell Congress: Hands off Medicaid!

·      Huge cuts to Medicaid are pending: The budget resolution that passed the House with no Democratic votes directs the Energy & Commerce Committee to cut federal spending by $880 billion in ten years – almost all of which would have to come from Medicaid.

·     The Affordable Care Act’s Medicaid expansion is on the chopping block: The ACA provides Medicaid to 21 million poor and near-poor adults (550,000 in our state). House Republican leadership has made it clear that they intend to eliminate dedicated federal funding for the ACA Medicaid expansion – a $650 billion spending cut.

·       Uninsuring millions: If the federal 90% contribution for “expansion” enrollees is eliminated, no state will be able to afford to maintain the expansion.  Based on past estimates by the Congressional Budget Office, 15-20 million people will lose coverage.

·      Republicans are lying about their plans: Republican leadership, and on-board representatives  like Tom Kean Jr. (NJ-7), say that they will “protect” Medicaid for children, seniors and the disabled and only cut “waste, fraud, and abuse.” In Republican-speak, “waste” means coverage for low-income adults.

·      Say no to work requirements: Republicans also aim to make all states impose “work requirements” on most adult Medicaid enrollees – though the vast majority of non-disabled enrollees either work or are caregivers or students.  Work requirements have been tried – and the red tape drives eligible Medicaid recipients off the rolls in droves – as Republicans intend.

Take Action

·       Contact NJ’s Republican House Reps: Tell them Hands off Medicaid! Preserve the ACA Medicaid expansion. Say no to work requirements.

Jeff Van Drew (NJ-2) --  (202) 225-6572 or ( 609) 625-5008
Chris Smith (NJ-4) –  (202) 225-3765 or (732) 780-3035
Tom Kean Jr. (NJ-7) -- (202) 225-5361 or  (908) 547-3307

Van Drew and Smith, both of whom would prefer not to cut Medicaid, are receptive to out-of-district calls; Kean, not so much.