Jen Kiggans Ultimately “Folded” And Voted For The One Big Beautiful Bill, The Largest Cut To Medicaid In History, Which Would Kick More Than 21,000 People In VA-02 Off Their Health Insurance

Kiggans “Folded” And Voted To Cut Medicaid Despite Her Pledge Not To

Richmond Times-Dispatch Headline: “Wittman, Kiggans Back Trump Bill, Despite Medicaid Cuts.” [Richmond Times-Dispatch, 7/5/25]

The Virginian-Pilot Headline: “Column: Despite Medicaid Pledges, Wittman And Kiggans Folded.” [The Virginian-Pilot, 6/14/25]

Richmond Times-Dispatch: Kiggans Voted For The One Big Beautiful Bill, Which “Crossed The Line [She] Drew For Protecting Virginia’s Medicaid Program.” “Rep. Rob Wittman, R-1st, and Rep. Jen Kiggans, R-2nd, may have crossed the line they drew for protecting Virginia’s Medicaid program, voting on Thursday to pass the budget package that would make deeper cuts to the health care safety net than the bill that the House of Representatives had approved in late May.” [Richmond Times-Dispatch, 7/5/25]

Jim Spencer Opinion: Kiggans Voted On May 22 For The Reconciliation Bill That Could Leave 16 Million People Without Health Insurance Over The Next Decade. “On May 22, Wittman and Kiggans voted for a House budget reconciliation bill that the Congressional Budget Office says could leave 16 million people without health insurance over the next decade. Millions of those people will lose coverage because of $803 billion in cuts to Medicaid, which pays for health care for low-income individuals and households.” [The Virginian-Pilot, Opinion, 6/14/25]

• Jim Spencer Opinion: Kiggans Said In An April 14th Letter To House Speaker Mike Johnson “We

Cannot And Will Not Support A Final Reconciliation Bill That Includes Any Reduction In Medicaid Coverage For Vulnerable Populations.” “We cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations.’ That is what U.S. Reps. Rob Wittman and Jen Kiggans, along with 10 other Republican House members, wrote in a letter to House Speaker Mike Johnson on April 14.” [The Virginian-Pilot, Opinion, 6/14/25]

Kiggans Voted For The One Big Beautiful Bill, And Was The Deciding Vote For Initial Passage

July 2025: Kiggans Voted For H.R. 1, The One Big Beautiful Bill Act. In July 2025, Kiggans voted for: “Motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The motion was agreed to by a vote of 218-214. [HR 1, Vote #190, 7/3/25; CQ, 7/3/25]

• May 2025: Kiggans Was The Deciding Vote To Pass H.R. 1, The One Big Beautiful Bill Act. In May 2025, Kiggans voted for: “Passage of the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. It would reduce spending on Medicaid by $625 billion over a 10-year period and modify eligibility and cost provisions for enrollees and health providers and impose work, volunteer and education requirements on adults ages 19 to 64 who are covered by the program. It would appropriate “such sums as necessary” for reducing cost-sharing payments for low-income individuals who’ve purchased “silver” plans on the 2010 health care law’s exchanges. But payments to plans that cover abortions would be mostly barred. It would extend and make permanent individual tax brackets and rates included in the 2017 tax overhaul law (PL 115-97) and provide for the adjustment of the lower bounds of each tier based on inflation. It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000 and prohibit Medicaid funding for gender transition therapies or procedures for minors and adults, among other provisions.” The bill passed by a vote of 215-214. [H.R. 1, Vote #145, 5/22/25; CQ, 5/22/25]

The One Big Beautiful Bill Contained The Largest Cuts To Medicaid In History

The Hill: The Republican Tax And Spending Bill Contained The Largest Cuts To Medicaid Since The Program Began. “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade. The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO). It still needs to pass the House again, where some moderate Republicans have expressed concerns about the cuts.” [The Hill, 7/1/25]

• NPR: Trump Dubbed His Tax And Policy Bill The “One Big Beautiful Bill.” “President Trump muscled a 900-page package through a closely divided Congress — and that might have been the easy part. The tax and

policy bill, which Trump dubbed the ‘One Big Beautiful Bill,’ encompasses much of his second-term agenda.” [NPR, 7/11/25]

More Than 21,000 People In VA-02 Would Be Kicked Off Their Health Insurance As A Result Of The One Big Beautiful Bill According To Estimates From The Joint Economic Committee

September 2025: The Joint Economic Committee Minority Estimated More Than 21,000 People In Virginia’s 2nd Congressional District Would Lose Health Insurance By 2034 Due To Congressional Republicans’ Cuts To Medicaid And The ACA. “According to the nonpartisan Congressional Budget Office (CBO)’s most recent analysis, President Trump and Congressional Republicans’ cuts to Medicaid and the Affordable Care Act (ACA) would result in 16 million people losing their health insurance by 2034. Using CBO’s analysis released June 4 and other research, the Joint Economic Committee – Minority calculated new estimates of the number of people who would lose health insurance.” [Joint Economic Committee Minority, September 2025]

[Joint Economic Committee Minority, September 2025]

The Kaiser Family Foundation Estimated The One Big Beautiful Bill Would Increase The Number Of Americans Without Health Insurance By About 17 Million

Kaiser Family Foundation: The Number Of People Without Health Insurance Was Expected To Increase By About 17 Million As A Result Of The One Big Beautiful Bill And Other Policy Changes. “The reconciliation package currently making its way through Congress would make significant cuts to federal funding for Medicaid and the Affordable Care Act. According to the Congressional Budget Office (CBO), an additional 11.8 million people could be uninsured in 2034 if the version introduced by the Senate is passed. (This is a fast-moving piece of legislation and additional changes could be made, though the reconciliation bill is likely to be put up for a vote before another CBO score can be completed). […] In total, due to the One Big Beautiful Bill Act and other policy changes, the number of people without health insurance is expected to increase by about 17 million. If all of this comes to pass, it would represent the biggest roll back of health insurance coverage ever due to federal policy changes.” [KFF, 7/1/25]