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    Home»US News»House GOP plows toward $880 billion in Medicaid cuts despite internal differences
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    House GOP plows toward $880 billion in Medicaid cuts despite internal differences

    Team_Prime US NewsBy Team_Prime US NewsMay 13, 2025No Comments7 Mins Read
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    Home Republicans will plow forward Tuesday to advance key parts of their invoice to fund President Donald Trump’s agenda — together with taxes and Medicaid cuts — whilst they continue to be at odds over a number of important points.

    The Home Power and Commerce Committee, which has jurisdiction over vitality and well being care applications, and the Home Methods and Means Committee, which has jurisdiction over taxes, will each maintain marathon markups in hopes of shifting the laws to the ground.

    The motion on the important items of the “large, stunning invoice” comes as Speaker Mike Johnson faces resistance from completely different wings of his caucus with solely three votes to spare in his razor skinny majority.

    Texas Republican Rep. Chip Roy mentioned Monday he’s against the proposals and wishes “vital” modifications to help the ultimate package deal.

    Rep. Chip Roy speaks to the media after the Home of Representatives did not cross a authorities funding invoice on the U.S. Capitol on Dec. 19, 2024, in Washington.

    Kevin Dietsch/Getty Photos

    “I stay open-minded as a result of progress has been made based mostly on our forceful efforts to drive change. However we can’t proceed down the trail we’ve been happening – and we’ll want SIGNIFICANT further modifications to garner my help,” he mentioned in a submit on X.

    Trump repeatedly promised on the marketing campaign path and within the White Home to not reduce Medicaid and he and Republicans mentioned they’re going to provide you with financial savings by chopping waste and fraud in this system.

    Earlier than heading off on a four-day journey to the Center East on Monday, he urged Republicans to “UNIFY” across the invoice and mentioned the chief order he signed Monday that will “slash the price of pharmaceuticals” and the “lots of of billions of tariff cash coming in” needs to be factored into the invoice’s scoring.

    With Republicans accountable for each chambers of Congress, they’re utilizing a course of referred to as reconciliation that solely requires a easy majority for passage to fast-track their laws.

    Republicans unveiled legislative textual content over the weekend that outlined their plans to slash Medicaid spending by imposing work necessities for recipients, make extra frequent eligibility checks, and penalize states like New York and California that supply Medicaid to unlawful immigrants.

    The Congressional Finances Workplace wrote in a letter to Power and Commerce Chairman Brett Guthrie that the proposal met its lofty goal for $880 billion of financial savings over the subsequent decade.

    The Power and Commerce committee resisted stress from hardliners like Roy who demanded GOP leaders suggest decreasing the share the federal authorities pays to states’ Medicaid applications or embrace per-capita caps on federal Medicaid funds to states.

    The well being parts would save about $715 billion, in keeping with CBO. Nonetheless, a minimum of 8.6 million extra Individuals will go uninsured.

    Some tradition battle points have been addressed within the invoice, together with a provision to strip Medicaid funding from organizations that supply abortion providers akin to Deliberate Parenthood.

    The laws has already obtained pushback from Republicans within the Senate who must associate with it, together with Missouri Sen. Josh Hawley, who wrote an opinion piece within the New York Instances Monday warning in opposition to strikes to chop Medicaid.

    Speaker of the Home Rep. Mike Johnson arrives for a Home Republican convention assembly on the U.S. Capitol, Could 6, 2025 in Washington.

    Andrew Harnik/Getty Photos

    “This wing of the occasion desires Republicans to construct our large, stunning invoice round slashing medical insurance for the working poor. However that argument is each morally incorrect and politically suicidal,” Sen. Hawley wrote.

    In the meantime, the Methods and Means Committee, which is marking up the tax portion of the invoice, outlined a everlasting extension of Trump’s 2017 Tax Cuts and Job Act, in addition to making good on his marketing campaign guarantees like no tax on suggestions and no tax on additional time.

    The plan would briefly enhance the kid tax credit score, create a MAGA financial savings account for youngsters and briefly enhance the usual tax deduction. It additionally requires a $4 trillion enhance to the debt ceiling, which Congress should handle by mid-July to keep away from default.

    The laws additionally contains one of the crucial controversial parts — a tax proposal that will hike the cap on state and native tax deductions (SALT) from $10,000 to $30,000 for these incomes lower than $400,000, which some average Republicans from states with increased taxes say just isn’t sufficient.

    New York Rep. Nick LaLota mentioned he’s “nonetheless a hell no” in a submit on X.

    Rep. Mike Lawler of New York informed Bloomberg TV the proposal was “woefully insufficient,” including that he’ll vote in opposition to the invoice if it involves the ground.

    “We are going to proceed to work in good religion with management, with the administration to get this executed, however we have to have an trustworthy and critical dialogue in regards to the situation,” he added.

    Here is what’s within the invoice:

    Medicaid cuts

    Medicaid work necessities: The invoice would impose work necessities on able-bodied Medicaid recipients — a minimum of 80 hours per thirty days — or require enrolling in an academic program for a minimum of 80 hours or some mixture per thirty days.

    Extra frequent eligibility checks: The laws would require states to conduct extra frequent eligibility determinations — from each 12 months to each six months.

    Prohibits Medicaid funds for gender transition for minors: The measure would ban federal Medicaid funds from going to gender-affirming take care of transgender minors.

    Blocks Medicaid funding for non-citizens: Federal funding can be blocked from going to states that present well being care protection beneath Medicare for migrants within the nation with out authorization.

    Targets Medicaid funding for organizations that present abortions: The measure contains language that will basically prohibit well being care suppliers who supply abortion providers from receiving Medicaid funds.

    Drug pricing: The invoice makes a change to the Inflation Discount Act and permits medication to be exempt from Medicare’s drug value negotiation if they’re authorized to deal with a number of ailments.

    Cuts vitality applications in Inflation Discount Act: The proposal would reduce Inflation Discount Act applications like spending on electrical autos, claw again climate-related federal funding and section out clear vitality credit.

    Tax provisions

    No tax on suggestions: An enormous tax break for the service business and a provision that was additionally trumpeted by Kamala Harris because the Democratic nominee for president, although she tied the tax break to a rise for the federal minimal wage. That is short-term and would expire on the finish of 2028.

    No tax on additional time: Would relieve hundreds of thousands of Individuals who work additional time. That is short-term and would additionally expire on the finish of 2028.

    Extension of 2017 Tax Cuts and Job Act: Makes tax from the 2017 Tax Cuts and Jobs Act everlasting; doesn’t embrace a tax enhance on the wealthiest earners. Trump posted final week that the proposal shouldn’t elevate taxes on high-earners, “however I am OK in the event that they do!!!”

    Creation of MAGA financial savings account for youngsters: The contribution restrict for any taxable yr is $5,000. It features a pilot program to start out the accounts with $1,000.

    SALT: Lifts state and native tax deduction cap to $30,000 with an earnings phase-down above $400,000. Married {couples} submitting taxes individually are topic to a $15,000 cap and phase-down above $200,000 earnings.

    Debt restrict enhance: The measure requires growing the debt restrict by $4 trillion. Treasury Secretary Scott Bessent mentioned final week lawmakers should handle the debt restrict by mid-July to keep away from a default.

    Enhanced tax deduction for seniors: Seniors would get a $4,000 increased normal tax deduction topic to earnings limits. That is short-term and would additionally expire on the finish of 2028.

    Hikes excise tax on faculties: These with endowments over $2 million per scholar would enhance from 1.4% to 21%, focusing on Ivy League colleges. Spiritual colleges can be exempt.

    Little one tax credit score: A brief enhance from $1,000 to $2,500 by 2028 and to $2,000 after that. Recipients will probably be required to have a Social Safety quantity.

    Deduction for certified enterprise: The invoice would enhance the deduction for certified enterprise earnings from 20% to 22%.

    Extends elevated property and present tax exemption: Would enhance the property and present tax exemption to $15 million.

    Elevates normal tax deduction: The measure contains some new tax cuts like briefly elevating the usual deduction by $2,000 to $32,000 for 2025 for joint filers and by $1,000 to $16,000 by 2028.



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