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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."
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."
"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."
"House Republican leadership put a giant bullseye on Medicaid, with the intent to strip Americans of their healthcare benefits to pay for tax cuts for billionaires and big corporations."
House Republicans unveiled a draft budget resolution on Wednesday that calls for $4.5 trillion in tax breaks that would disproportionately benefit the wealthy while proposing $2 trillion in cuts to Medicaid, federal nutrition assistance, and other programs.
Lawmakers are set to mark up the House GOP's budget blueprint on Thursday as Republicans look to craft a sprawling reconciliation bill that can pass both chambers of Congress with a simple-majority vote. Last week, Senate Republicans released their own budget resolution that proposed significant cuts to Medicaid, the Supplemental Nutrition Assistance Program (SNAP), and other spending that benefits working-class families.
"Instead of tackling rising prices and delivering relief for American families, House Republicans are charging ahead with trillions of dollars in deeply unpopular tax breaks for billionaires like Donald Trump and Elon Musk," Alex Jacquez, chief of policy and advocacy at the Groundwork Collaborative, said Wednesday in response to the House GOP resolution.
"And, they're paying for their billionaire handouts by ransacking healthcare, food assistance, and other vital programs that American workers and families rely on," Jacquez added.
The new resolution released by the Republican-controlled House Budget Committee specifically calls on the chamber's energy and commerce panel to "submit changes in laws within its jurisdiction to reduce the deficit by not less than" $880 billion over the next decade. The House Energy and Commerce Committee has jurisdiction over Medicaid.
The measure also instructs the House Committee on Agriculture, which has jurisdiction over SNAP, to cut no less than $230 billion in spending between fiscal years 2025 and 2034.
"They wanna do a giant tax cut that disproportionately helps the rich while taking away people's health insurance and food while still adding trillions to the debt," Bobby Kogan, a former Senate Budget Committee staffer who is now senior director of federal budget policy at the Center for American Progress, wrote in response to the resolution.
Overall, the House GOP's budget resolution calls for $2 trillion in cuts to "mandatory spending" over the next decade, taking aim at a category that includes Medicaid, Medicare, Social Security, and SNAP. While Social Security benefits cannot be cut through the reconciliation process, Supplemental Security Income (SSI) can.
Congressional Republicans have outlined a number of ways they could slash Medicaid and SNAP, including punitive new work requirements that analysts say would strip benefits from tens of millions of low-income people.
But Families USA executive director Anthony Wright said Wednesday that "we don't need to know the mechanisms of how Medicaid would be cut to know the impact would be catastrophic: The sheer size of the proposed cuts means millions of Americans losing coverage, hospitals and clinics plunged into budget shortfalls, and healthcare services we all depend on being eliminated."
"This budget resolution is a five-alarm fire alert for our healthcare," said Wright. "House Republican leadership put a giant bullseye on Medicaid, with the intent to strip Americans of their healthcare benefits to pay for tax cuts for billionaires and big corporations."
Kobie Christian, a spokesperson for the progressive coalition Unrig Our Economy, issued a similarly scathing statement on Wednesday, arguing that House Republicans "showed us that what they value is more tax breaks for greedy billionaires and giant corporations with everyday people paying the price."
"At a time when everyday Americans face increasingly higher prices, Speaker Johnson and his stooges want to write billionaires a check and force working-class people to foot the bill for their outrageous tax breaks for corporations and the ultra-wealthy," said Christian. "Everyday Americans will not stand for these games—it's time for Republicans in Congress to end their campaign that puts the ultra-wealthy first on the backs of the rest of us."