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"Their plan would force the largest Medicaid cuts in American history—all to pay for more tax giveaways to billionaires," said Democratic Rep. Brendan Boyle.
At a press conference last week, U.S. House Majority Leader Steve Scalise claimed Democrats are lying when they warn that Medicaid is in the Republican Party's crosshairs.
"The word Medicaid is not even in this bill," Scalise (R-La.) declared, waving the text of a budget resolution that House Republicans went on to pass over unified Democratic opposition.
But an analysis released late Wednesday by the nonpartisan Congressional Budget Office (CBO) makes clear that deep cuts to Medicaid would be required under the House GOP resolution, which President Donald Trump has endorsed.
The analysis, produced at the request of leading House Democrats, shows that Medicaid accounts for 93% of projected mandatory spending under the jurisdiction of the House Energy and Commerce Committee over the next decade, not including Medicare.
That means Republicans would have to cut Medicaid, the Children's Health Insurance Program (CHIP), or Medicare to achieve the $880 billion in spending reductions that the House budget resolution instructs the energy and commerce panel to impose between fiscal years 2025 and 2034.
"This analysis from the nonpartisan CBO confirms what we've been saying all along: Republicans are lying about their budget," said Rep. Brendan Boyle (D-Pa.), the top Democrat on the House Budget Committee. "Their plan would force the largest Medicaid cuts in American history—all to pay for more tax giveaways to billionaires."
According to the CBO, just $135 billion in spending under the House Energy and Commerce Committee's jurisdiction over the next decade would be available for cuts when excluding Medicaid, Medicare, CHIP, and programs that are "budget-neutral with revenues offsetting spending."
That would leave the GOP far short of the $880 billion in energy and commerce spending reductions proposed in the House budget resolution, which still must make its way through the Republican-controlled Senate before the GOP can move ahead with Trump's legislative agenda.
The CBO's analysis comes a day after Trump neglected to mention Medicaid during his first address to Congress of his second term, a decision that one advocate said confirms the president "knows his plan to cut nearly $1 trillion from Medicaid is so deeply unpopular that he would rather sweep it under the rug."
Rep. Frank Pallone, Jr. (D-N.J.), the top Democrat on the House Energy and Commerce Committee, said Wednesday that the CBO analysis "confirms what we've been saying all along: The math doesn't work without devastating Medicaid cuts."
"The reality is the only way Republicans can cut at least $880 billion within the Energy and Commerce Committee's jurisdiction is by making deep, harmful cuts to Americans' healthcare," said Pallone. "Republicans know their spin is a lie, and the truth is they have no problem taking healthcare away from millions of Americans so that the rich can get richer and pay less in taxes than they already do."
But an analysis released late Wednesday by the nonpartisan Congressional Budget Office (CBO) makes clear that deep cuts to Medicaid would be required under the House GOP resolution, which President Donald Trump has endorsed.
The analysis, produced at the request of leading House Democrats, shows that Medicaid accounts for 93% of projected mandatory spending under the jurisdiction of the House Energy and Commerce Committee over the next decade, not including Medicare.
That means Republicans would have to cut Medicaid, the Children's Health Insurance Program (CHIP), or Medicare to achieve the $880 billion in spending reductions that the House budget resolution instructs the energy and commerce panel to impose between fiscal years 2025 and 2034.
"This analysis from the nonpartisan CBO confirms what we've been saying all along: Republicans are lying about their budget," said Rep. Brendan Boyle (D-Pa.), the top Democrat on the House Budget Committee. "Their plan would force the largest Medicaid cuts in American history—all to pay for more tax giveaways to billionaires."
I keep hearing Republicans claim their budget doesn't cut Medicaid. We all know that's a lie — so I asked the nonpartisan CBO to look into it. Their analysis confirms it: the Republican budget delivers the largest Medicaid cuts in history to pay for giveaways to billionaires.
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— Rep. Brendan Boyle (@congressmanboyle.bsky.social) March 5, 2025 at 5:45 PM
According to the CBO, just $135 billion in spending under the House Energy and Commerce Committee's jurisdiction over the next decade would be available for cuts when excluding Medicaid, Medicare, CHIP, and programs that are "budget-neutral with revenues offsetting spending."
That would leave the GOP far short of the $880 billion in energy and commerce spending reductions proposed in the House budget resolution, which still must make its way through the Republican-controlled Senate before the GOP can move ahead with Trump's legislative agenda.
The CBO's analysis comes a day after Trump neglected to mention Medicaid during his first address to Congress of his second term, a decision that one advocate said confirms the president "knows his plan to cut nearly $1 trillion from Medicaid is so deeply unpopular that he would rather sweep it under the rug."
Rep. Frank Pallone, Jr. (D-N.J.), the top Democrat on the House Energy and Commerce Committee, said Wednesday that the CBO analysis "confirms what we've been saying all along: The math doesn't work without devastating Medicaid cuts."
"The reality is the only way Republicans can cut at least $880 billion within the Energy and Commerce Committee's jurisdiction is by making deep, harmful cuts to Americans' healthcare," said Pallone. "Republicans know their spin is a lie, and the truth is they have no problem taking healthcare away from millions of Americans so that the rich can get richer and pay less in taxes than they already do."
"House Republicans have ignored the demands of their constituents and instead chosen to side with their billionaire donors."
House Republicans rammed through their budget blueprint late Tuesday after U.S. President Donald Trump intervened to pressure wavering members to vote for the resolution, which jumpstarts the process of enacting sweeping cuts to Medicaid and other programs to finance trillions of dollars in proposed tax cuts primarily for the rich.
Just one Republican—Rep. Thomas Massie of Kentucky—joined every House Democrat in voting against the resolution, which sets the stage for $880 billion in Medicaid cuts and $230 billion in cuts to the Supplemental Nutrition Assistance Program (SNAP).
"Today, Republicans are cheering the passage of their extreme budget resolution that betrays the middle class," Rep. Brendan Boyle (D-Pa.), the top Democrat on the House Budget Committee, said in a statement following Tuesday's vote. "Their bill will impose pain and suffering on tens of millions of hardworking Americans—cutting Medicaid and the Affordable Care Act, all to fund extravagant giveaways for billionaires like Elon Musk."
Rep. Pramila Jayapal (D-Wash.) added in a social media post late Tuesday that "99% of House Republicans just voted to gut Medicaid so they can lower taxes for the richest 1%."
"They're showing you exactly who they’re working for," Jayapal wrote.
"House Republicans have ignored the demands of their constituents and instead chosen to side with their billionaire donors and party leadership to advance an extreme budget bill to give trillions in tax benefits to wealthy elites at the expense of workers and families."
In the lead-up to the vote, House Speaker Mike Johnson (R-La.) and other Republicans attempted to dodge backlash over their push for Medicaid cuts by saying the budget resolution doesn't contain the word Medicaid or explicitly recommend cuts to SNAP.
That is highly misleading. The resolution instructs the House Energy and Commerce Committee to "submit changes in laws within its jurisdiction to reduce the deficit by not less than" $880 billion over the next decade. That panel has jurisdiction over Medicaid, which Republicans have repeatedly targeted in public and private discussions, with one leaked GOP document floating over $2 trillion in cuts to the program.
Republicans also rejected numerous Democratic amendments that would have prevented Medicaid and SNAP cuts in the upcoming budget reconciliation process as their resolution moved through committees.
"House Republicans have ignored the demands of their constituents and instead chosen to side with their billionaire donors and party leadership to advance an extreme budget bill to give trillions in tax benefits to wealthy elites at the expense of workers and families back home," said David Kass, executive director of Americans for Tax Fairness. "Don't buy Republican representatives' spin—this was far from a procedural vote with no consequences. This budget bill will strip healthcare, nutrition services, and education programs from millions of working and middle-class Americans to fund Trump's $5 trillion in tax giveaways to billionaires and big business."
Roll Callnoted that passage of the budget resolution marks just "the first step toward passing the mammoth reconciliation bill that House Republicans are seeking to enact Trump's agenda."
"The plan remains at odds with that of Senate Republicans, who are pursuing their own slimmer budget blueprint focused on border security and defense, while deferring tax legislation until later in the year," the outlet added.
Sharon Parrott, president of the Center on Budget and Policy Priorities, said in a statement that "both the House and Senate budgets significantly miss the mark on what should be their basic goals: lowering costs, increasing opportunity, and responsibly addressing our nation's long-term priorities, including reducing future economic risks associated with high deficits."
"But the enormity of program cuts called for by the House budget stands as a singular threat to the well-being of people in every state, city, and rural community, threatening to take away their health coverage, make healthcare more expensive, and make it harder to afford food and college," said Parrott. "The quick math on the House budget shows a stark equation: The cost of extending tax cuts for households with incomes in the top 1%—$1.1 trillion through 2034—equals roughly the same amount as the proposed potential cuts for health coverage under Medicaid and food assistance under the Supplemental Nutrition Assistance Program."
"The House Republican budget's path of higher costs for families, more people without health coverage, increased poverty and hardship, and higher debt—all in service to tax cuts for the wealthy and profitable business interests—is the wrong direction for our nation," Parrott added. "It is also directly at odds with the recent election in which so many people expressed concern about their ability to afford food, housing, healthcare, and other necessities—and at odds with the promises made to them by President Trump."
"Instead of choosing to protect the American people, they chose to protect billionaires and corporations," said the top Democrat on the House Budget Committee.
House Republicans advanced their budget plan out of committee Thursday night after a 12-hour markup session during which they rejected dozens of Democratic amendments, including proposed changes that would have protected Medicaid and federal nutrition benefits from the deep cuts the GOP hopes to impose to help finance trillions of dollars in tax breaks for the richest Americans.
The House Budget Committee advanced the Republican resolution, unveiled earlier this week, in a 21-16 vote along party lines. Prior to the vote, GOP members agreed to adopt an amendment offered by Rep. Lloyd Smucker (R-Pa.) that, according toPolitico, effectively caps "the cost of the tax cuts at $4 trillion, with a dollar-for-dollar increase in that ceiling if Republicans cut more spending, up to a total of $2 trillion in cuts."
Democrats on the panel offered more than 30 amendments to the budget resolution, all of which Republicans rejected.
"Each of our amendments was a direct effort to shield the American people from the reckless cuts embedded in this proposal, cuts that will hurt the most vulnerable while giving trillions of dollars of handouts to the ultra-rich," Rep. Brendan Boyle (D-Pa.), the top Democrat on the House Budget Committee, said in his closing remarks at Thursday's hearing. "We fought to protect Medicaid and Medicare, ensuring that seniors, low-income families, children, and people with disabilities don't see their healthcare stripped away."
"We proposed amendments to maintain funding for public education, ensuring that schools remain adequately resourced and that teachers don't bear the burden of budget shortfalls," Boyle continued. "And we stood up for veterans who risked their lives for this country and deserve more than empty rhetoric. They deserve fully funded healthcare, food assistance, and the benefits they earned through their service. Yet, despite the clear benefits of these proposals, Republicans oppose all of them."
"Instead of choosing to protect the American people," he added, "they chose to protect billionaires and corporations."
"This isn't government of, by, and for the people; it's government of, by, and for billionaires."
The Republican budget blueprint calls for more than a trillion dollars in cuts to Medicaid and the Supplemental Nutrition Assistance Program (SNAP), which provide healthcare and food aid to tens of millions of low-income Americans.
"These aren't just numbers," Sharon Parrott, president of the Center on Budget and Policy Priorities, stressed in response to the House GOP resolution. "The loss of Medicaid means, for example, a parent can't get cancer treatment, and a young adult can't get insulin to control their diabetes. Cuts to food assistance mean a parent skips meals so their children can eat or an older person who lost their job has no way to buy groceries."
In addition to advancing the GOP's far-right ideological project, such cuts would partly offset the costs of Republicans' proposed tax breaks—which would disproportionately benefit the wealthiest people in the country, including the billionaires in President Donald Trump's Cabinet.
"Republicans are cutting Medicaid and SNAP to pay for tax breaks for the richest 1% of Americans," the progressive advocacy group Americans for Tax Fairness wrote in a social media post on Thursday. "They are literally taking $1.1 TRILLION away from you, and giving it to the wealthiest people in the country."
Thursday's vote marks a first step toward passage of a sprawling, filibuster-proof budget reconciliation package that will include a slew of Republican priorities.
But the House GOP must resolve its differences with Senate Republicans, who are pushing for two bills instead of one. The Senate plan, which Republicans advanced out of committee earlier this week, also calls for major cuts to Medicaid and SNAP.
"This Republican budget opens the door to massive cuts for families," Sen. Jeff Merkley (D-Ore.), ranking member of the Senate Budget Committee, said Thursday. "Democrats on the committee offered amendment after amendment to protect healthcare, housing, and education—all of the foundations working families need to thrive—and Republicans blocked every single one of them, all to later divert those cuts into massive tax breaks for the richest Americans."
"This is the Great Betrayal," Merkley added. "Trump campaigned on protecting families, but President Trump and Senate Republicans are all about protecting their billionaire friends. This isn't government of, by, and for the people; it's government of, by, and for billionaires."