A plan by congressional Republicans would pay for tax cuts for the wealthy by reducing federal support for Medicaid — the state-administered insurance program for low-income and working-class Americans. In late April, a Republican House member — Rep. Austin Scott of Georgia — spelled out what his party hopes to do.
Austin Scott previews how House Rs plan to cut Medicaid: "The federal govt is paying 90% of the Medicaid expansion. What we've talked about is moving that 90% level of the expansion back… nobody would be kicked off Medicaid as long as governors decided they wanted to continue to fund the program"
The scheme would all but repeal a major portion of the Affordable Care Act (ACA) by taking away the federal dollars states were promised in return for expanding Medicaid to cover working-class individuals and families. Twelve states have laws that automatically end the ACA’s expansion of Medicaid if federal cost-sharing is reduced in the way Scott described — and even in other states, the loss of federal money threatens to make Medicaid unsustainable:
The GOP know state budgets cannot fill the hole that their cuts to Medicaid would create.In Missouri, the proposed cuts to Medicaid & SNAP would blow a $2 BILLION hole in the budget, costing more than 20,000 jobs—all for another tax cut for billionaires.missouriindependent.com/2025/03/26/m…
— Rep. Emanuel Cleaver (@cleaver.house.gov) 2025-04-22T19:28:46.805Z
Policy analysts say that the Republican plan to reduce federal support for Medicaid could put health coverage for about 20 million people at risk.