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"Americans: We just want higher wages and lower costs. Republicans: We are going to take away your healthcare."
Some Democratic lawmakers and other critics of congressional Republicans on Friday pointed to a document obtained by Politico as just the latest evidence that the looming GOP trifecta at the federal level poses a threat to working families nationwide.
"Americans: We just want higher wages and lower costs. Republicans: We are going to take away your healthcare," Rep. Pramila Jayapal (D-Wash.), chair emeritus of the Congressional Progressive Caucus, said in response to the reporting, which came as Republicans have taken control of both chambers of Congress and prepare for President-elect Donald Trump's inauguration in just over a week.
The one-page list originated from the House Budget Committee, chaired by Rep. Jodey Arrington (R-Texas), Politico reported, citing five unnamed sources. One of them explained that the "document is not intended to serve as a proposal, but instead as a menu of potential spending reductions for members to consider."
The document lists various policies that it claims would collectively cut up to $5.7 trillion. Republicans have been discussing how to offset the high costs of top priorities—specifically, Trump's immigration policies and plans for tax cuts that critics warn would largely benefit the wealthy, like the law he signed in 2017.
"In order to make his rich, billionaire buddies richer, Trump wants to kick millions off healthcare coverage and starve families. How does this help working families thrive?"
The policies are divided into eight sections, with headings that critics called "dystopian" and "Orwellian." The first calls for repealing "major" health rules from outgoing President Joe Biden's administration, which would supposedly cut $420 billion. The second section takes aim at Medicare, the federal health program for seniors, proposing policies that would cut $479 billion.
A large share of the potential cuts would come from section three, which lists seven potential changes to Medicaid, a program that provides health coverage to low-income people. The policies include per capita caps, work requirements, and lowering the federal medical assistance percentages (FMAP) floor.
"In order to make his rich, billionaire buddies richer, Trump wants to kick millions off healthcare coverage and starve families. How does this help working families thrive?" Michigan state Rep. Carrie Rheingans (D-47) asked on social media. "In this leaked list of cuts, 'lower FMAP floor' for Medicaid means states pay a higher proportion of Medicaid costs for enrollees—this just shoves [federal] costs to states so billionaires get more yacht money."
Section four of the document calls for "reimagining" the Affordable Care Act (ACA) to cut $151 billion, with changes that include repealing the Prevention and Public Health Fund, limiting eligibility based on citizenship status, and reclaiming $46 billion from subsidies set to expire at the end of the year.
The fifth section lays out $347 billion in cuts by "ending cradle-to-grave dependence," targeting initiatives including Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP), often called food stamps.
Section six claims "reversing Biden climate policies" would cut $468 billion: $300 billion by discontinuing some provisions from the 2021 bipartisan infrastructure legislation, $112 billion by rolling back electric vehicle policies, and $56 billion by repealing green energy grants from the Inflation Reduction Act (IRA).
The seventh section is a catchall, listing up to $1 trillion in potential cuts through moves that include ending student debt forgiveness, restricting emergency spending, and reforming federal employee benefits. Section eight identifies up to $527 in potential tax offsets from requiring Social Security numbers for the child tax credit and green energy credits.
House Speaker Mike Johnson (R-La.), who recently agreed to use the budget reconciliation process to cut $2.5 trillion, "can't afford any Republican defections if he wants to pass a package on party lines," Politico reported. "Even proposed cuts to green energy tax credits, worth as much as $500 billion, could be tricky—as the document notes, they depend 'on political viability.' Already 18 House Republicans—14 of whom won reelection in November—warned Johnson against prematurely repealing some of the IRA's energy tax credits, which are funding multiple manufacturing projects in GOP districts."
Sharing the report on social media Friday, Rep. Nydia Velázquez (D-N.Y.) stressed that "Republicans want to cut vital food and healthcare support programs to pay for a tax cut for billionaires and large corporations. The GOP wants working families to pay for their billionaire handouts."
"Mike Johnson is committing to slashing Social Security and Medicare to get the speaker's gavel," said one progressive group.
As Republicans took full control of Congress this week and U.S. President-elect Donald Trump prepared to take office later this month, Democratic lawmakers renewed warnings about how the GOP agenda will harm working people and pledged to fight against it.
"Today, the 119th Congress officially begins. Our top priority over the next two years must be fighting for working families and standing up to corporate power and greed," Rep. Pramila Jayapal (D-Wash.), chair emeritus of the Congressional Progressive Caucus, said on social media Friday.
"While Republicans focus their energy for the next two years on giving tax breaks to the rich and cutting vital public programs, Democrats will continue working to lower costs and raise wages for all," Jayapal promised. "We'll always be fighting for YOU."
In addition to members of Congress being sworn in on Friday, nearly all Republicans in the House of Representatives reelected Rep. Mike Johnson (R-La.) as speaker and the chamber debated a rules package that Democrats have criticized since it was released by GOP leadership earlier this week.
"Their governance will be marked by consolidated power, scapegoated communities, and campaigns of punishment."
The package fast-tracks a dozen bills on a range of issues; they include various immigration measures as well as legislation attacking transgender student athletes, sanctioning the International Criminal Court, requiring proof of United States citizenship to register to vote in federal elections, and prohibiting a moratorium on hydraulic fracturing, or fracking, for fossil fuels.
"Speaker Johnson has said that the 119th Congress will be consequential. Today, both in Speaker Johnson's address and in the rules package the Republicans have passed, Republicans have shown us what the consequences of their leadership will be," Rep. Delia C. Ramirez (D-Ill.) said in a statement. "In their first order of business, Republicans advanced a legislative package that abuses the power of Congress to persecute trans children athletes, take federal funding away from sanctuary cities like Chicago and Illinois, scapegoat immigrants, erode voting rights, and put new criminal penalties on reproductive care providers."
"For the first time in history, they seek to make the speakership less accountable to the full body of legislators and to limit our ability to consider emergency bills," Ramirez noted. "Overall, they are using the rules to make Congress less transparent, less accountable, and less responsive to the needs of the American people. Their governance will be marked by consolidated power, scapegoated communities, and campaigns of punishment."
Speaking out against the package on the House floor, Jayapal said it "makes very clear what the Republican majority will not do in the 119th Congress," stressing that the 12 bills "do nothing to lower costs or raise wages for the American people."
These bills also won't "take on the biggest corporations and wealthiest individuals who profit from the high prices and junk fees and corporate concentration that's harming Americans across this country," she said. "Because guess what? These corporations and wealthy individuals are the ones that are controlling the Republican Party for their own benefit."
Jayapal highlighted the exorbitant wealth of Trump's Cabinet picks, just a day after the president-elect announced corporate lobbyist and GOP donor Ken Kies as his choice for assistant secretary for tax policy at the Treasury Department—which is set to be led by billionaire hedge fund manager Scott Bessent, as Republicans in Congress try to pass another round of tax cuts for the rich.
GOP lawmakers are also aiming "to make meaningful spending reforms to eliminate trillions in waste, fraud, and abuse, and end the weaponization of government," Johnson said in a lengthy social media on Friday. "Along with advancing President Trump's America First agenda, I will lead the House Republicans to reduce the size and scope of the federal government, hold the bureaucracy accountable, and move the United States to a more sustainable fiscal trajectory."
In other words, responded the Progressive Change Campaign Committee (PCCC), "Mike Johnson is committing to slashing Social Security and Medicare to get the speaker's gavel."
Republicans have a slim House majority and Trump-backed Johnson was initially set to fall short of the necessary support to remain speaker, due to opposition from not only Congressman Thomas Massie (R-Ky.) but also Reps. Ralph Norman (R-S.C.) and Keith Self (R-Texas). However, after a private conversation, Norman and Self switched their votes.
"Johnson cut a backroom deal with the members that voted against him so they'd flip their votes. So he will get gavel now. I'm sure in time we'll find out what he sold out just so he'd win," Rep. Maxwell Alejandro Frost (D-Fla.) said on social media.
"What did Johnson sell out to become speaker? Social Security or Medicare? Or perhaps veterans?" he asked.
Citing a document circulated ahead of the vote by Johnson's right-wing critics that lists "failures" of the 118th Congress, the PCCC said: "Looks like all of the above. But his holdouts put Social Security in their first bullet of grievances."
After the vote, Norman and 10 right-wing colleagues released a letter explaining that, despite sincere reservations, they elected Johnson because of their "steadfast support of President Trump and to ensure the timely certification of his electors."
"To deliver on the historic mandate earned by President Trump for the Republican Party, we must be organized to use reconciliation—and all legislative tools—to deliver on critical border security, spending cuts, pro-growth tax policy, regulatory reform, and the reversal of the damage done by the Biden-Harris administration," they added.
Politicoreported that "House Republicans are hoping to start work on the budget targets for critical committees on Saturday—the first step in kicking off their ambitious legislative agenda involving energy, border, and tax policy."
According to the outlet:
"The Ways and Means Committee is just going to be able to draft tax legislation according to what the budget reconciliation instructions are," said House Ways and Means Chair Jason Smith (R-Mo.), who will be leading the charge on extensions of... Trump's tax cuts.
"And so when the conference figures out what they want in those instructions, we'll be able to deliver according to those parameters," said Smith, when asked about the primary goal of a GOP conference meeting tentatively scheduled for Saturday at Fort McNair, an Army post in southwest Washington.
That followed Thursday reporting by The Washington Post that Trump advisers and congressional Republicans "have begun floating proposals to boost federal revenue and slash spending so their plans for major tax cuts and new security spending won't further explode the $36.2 trillion national debt."
As the newspaper detailed, 10 policies that Republicans have considered are tariffs, repealing clean energy programs, unauthorized spending, repealing the Biden administration's student loan forgiveness, shuttering the Education Department, cutting federal food assistance, imposing Medicaid work requirements, blocking Medicare obesity treatment, ending the child tax credit for noncitizen parents, and cutting Internal Revenue Service funding.
"The GOP promised to make life easier for working families," Rep. Katherine Clark (D-Mass.), the Democratic whip, said on social media in response to the Post's article. "Now, they want to slash your school budget, raise your grocery costs, and hike your energy bills—all to pay for billionaire tax cuts."
"We will not allow Republicans to cut Social Security, Medicare, Medicaid, and food assistance to pay for tax cuts for the wealthy," she added Friday. "No way."
Hundreds of advocacy organizations warned lawmakers that "enacting Medicaid cuts would betray your constituents of all political affiliations who are seeking more economic security, not less."
As Rep. Mike Johnson won reelection as House speaker on Friday, a broad coalition of more than 300 advocacy organizations warned the incoming Republican-controlled Congress against cutting Medicaid amid reports that the GOP is eyeing work requirements and other damaging changes to the program that provides healthcare coverage to around 80 million Americans.
In a letter to the congressional leaders of both parties, Families USA, the AFL-CIO, the American Federation of Teachers, Doctors for America, the NAACP, and other national and state-level organizations wrote that "cutting Medicaid was not a budget solution that American families asked for" during the 2024 election cycle.
"Doing so now would betray your constituents of all political affiliations who are seeking more economic security, not less," the groups continued. "Cutting Medicaid would shift costs and administrative burdens onto working-class families, states, and health systems. Proposals to cap funding, reduce the federal share of Medicaid spending, establish block grants, institute work reporting and community engagement requirements, cut state revenue from provider taxes, or otherwise undermine the fundamental structure of the Medicaid program all have the same effect."
"If instituted," they added, "Americans will lose access to lifesaving services, states will be strapped with massive budget holes, hospitals and clinics will lose revenues and be forced to cut staff and scale back services, and American families and workers will be unable to afford essential care and get sicker—leading to a loss in productivity and the economy suffering as a result."
"The American people are watching... and we urge you to take this opportunity to choose a different path: one that secures our country's health and economy."
The letter was sent as House members gathered on the floor of the chamber and voted to keep Johnson (R-La.) as speaker in the new Congress.
Once members are sworn in, Republicans are expected to pursue a massive tax-cut package that they will seek to fund by slashing key social programs, including Medicaid.
GOP lawmakers have discussed imposing work requirements on Medicaid recipients as part of a broader effort to offset the enormous costs of another round of tax cuts that would disproportionately benefit the wealthy and large corporations.
The Congressional Budget Office has estimated that Medicaid work requirements, which typically entail difficult-to-navigate bureaucratic procedures, would cause roughly 600,000 people to lose insurance.
Shortly after the November election, The New York Timesreported that "some Republican legislators are interested in even more sweeping changes, such as turning Medicaid into a block grant program, which would keep federal costs fixed even if more people sign up for coverage."
Edwin Park, a research Professor at the Georgetown University McCourt School of Public Policy's Center for Children and Families, warned in a November blog post that turning Medicaid into a block grant program would be "deeply harmful."
"To compensate for the severe federal funding cuts resulting from block grants," Park wrote, "states will either have to dramatically raise taxes and drastically cut other parts of their budget including K-12 education or, as is far more likely, institute deep, damaging cuts to Medicaid eligibility, benefits, and provider and plan payment rates."
"That includes not just dropping the Medicaid expansion, which covers nearly 20 million newly eligible parents and other adults, but gutting the rest of state Medicaid programs that serve tens of millions of low-income children, parents, people with disabilities, and seniors," Park continued.
In their letter on Friday, the advocacy coalition reminded congressional leaders that "millions upon millions of Americans rose up" in opposition to the GOP's failed attempt to cut Medicaid in 2017.
"The American people are watching once again," the groups wrote, "and we urge you to take this opportunity to choose a different path: one that secures our country's health and economy."