House Republicans Still Planning to Gut Medicaid in Budget Bill

New reporting from NBC News finds that House Republicans are “considering unraveling a key part of Obamacare” as part of their budget bill. The last time Republicans attempted to gut affordable health care access, voters showed their anger by voting dozens of them out of office, thereby losing them their House majority. 2026 would be no different.  

Slashing the federal Medicaid match would mean an estimated 20 million Americans could lose access to their health care, including children, cancer patients, and older citizens. House Republicans have already voted twice to decimate Medicaid in order to fund tax breaks for their billionaire friends and wealthy corporations.

DCCC Spokesperson Courtney Rice:
“Ripping away their constituents’ health care in order to fund tax breaks for the wealthiest few is not only cruel, it’s categorically unpopular with voters. The fact remains, no matter how hard they try to spin it, it always results in the same ending: millions will lose their health care – and Republicans will lose the majority.”

Read more from NBC News below.

NBC: Republicans consider unraveling a key part of Obamacare in Trump agenda bill

By Sahil Kapur | April 28, 2025

• Top Republicans are considering rolling back a major piece of the Affordable Care Act in their massive bill for President Donald Trump’s agenda, exploring savings by slashing how much money the federal government spends to cover the 2010 law’s expansion of Medicaid.

• Guthrie’s committee is tasked with finding $880 billion in savings, a target that can’t be met without cutting Medicaid or Medicare, according to Congress’ nonpartisan budget scorekeeper.

• The 90% federal match [that Republicans are proposing to cut] was a linchpin of the Medicaid expansion under the ACA, also known as Obamacare, enticing states to adopt the provision, which has since extended coverage to an estimated 20 million people in more than 40 states.

• “The ACA took a three-pronged approach to increasing access to health coverage — Medicaid expansion, tax credits to make premiums more affordable for those who lack employer-provided insurance and pre-existing condition protections. The Medicaid expansion has been a key part of reducing the uninsured rate to the lowest levels in history,” said Larry Levitt, executive vice president for health policy at KFF, a research group.

• Levitt called the 90% federal promise “key to getting both red and blue states to take” the Medicaid expansion after the Supreme Court made it optional. Lowering it to the traditional rate the feds pay on Medicaid “would be a huge cost shift to states, and many would have difficulty coming up with the extra money,” he added. “Some states even have triggers that would eliminate the expansion if the match rate is lowered.”

• House Minority Leader Hakeem Jeffries, D-N.Y., said defeating the broader GOP package is “a matter of life and death at this moment” and an “all-hands-on-deck” effort for Democrats.

• Health care is under assault by Donald Trump, Elon Musk, the administration and rubber-stamp Republicans in the House and in the Senate. These people, these extremists, they want to take health care away from the American people,” Jeffries told reporters. “In terms of this FMAP proposal, it’s all part of the same scheme. They want to end Medicaid as we know it. They’re going to hurt children, hurt families, hurt seniors, hurt people with disabilities, close hospitals, shut down nursing homes. And people will die.”

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