Republicans can’t obtain their aim of slashing $2 trillion in federal spending over the following decade with out slicing Medicaid, in keeping with the nonpartisan Congressional Price range Workplace (CBO).
In a report launched Wednesday, CBO discovered that the federal government spends $381 billion on packages apart from Medicaid or the Kids’s Well being Insurance coverage Program (CHIP) which are below the jurisdiction of the Vitality and Commerce Committee.
That’s an issue for Home Republicans, who want to slash $880 billion from packages within the committee’s jurisdiction to assist pay for an extension of President Trump’s tax cuts and border enforcement funding.
One of many prime targets is Medicaid, the joint federal and state-funded program that gives well being protection to greater than 72 million low-income People. Republicans see Medicaid as a program rife with fraud and abuse, and have lengthy sought to rein in its spending.
CBO stated that of the $381 billion, greater than half is already paid for. So even when Republicans eradicate each program below Vitality and Commerce apart from Medicaid and CHIP, it will solely be capable of save a most of $135 billion.
Republicans within the Home superior a finances decision practically on get together strains final week calling for at the least $2 trillion in spending cuts, kicking off the reconciliation course of that may permit the Senate to bypass the filibuster and move a invoice with solely 51 votes.
Underneath the decision, the Vitality and Commerce Committee, which oversees Medicaid, has been tasked with figuring out at the least $880 billion in cuts.
Trump, Speaker Mike Johnson (R-La.) and different Republican leaders argue they don’t seem to be concentrating on Medicaid. They are saying the financial savings will come largely from removing waste, fraud and abuse whereas additionally increasing work necessities for some adults receiving advantages
Johnson final week in a CNN interview stated that a few of the steepest potential cuts, like a change that may cap federal funds primarily based on inhabitants reasonably than the present open-ended entitlement, are off the desk. However he left the door open to lowering the improved federal match for Medicaid enlargement states and enthusiastically endorsed work necessities.
“This analysis from the nonpartisan CBO confirms what we’ve been saying all along: Republicans are lying about their budget,” stated Rep. Brendan Boyle (Pa.), the highest Democrat on the Home Price range Committee, who requested the report. “Their plan would force the largest Medicaid cuts in American history — all to pay for more tax giveaways to billionaires. The American people deserve to know just how much pain Republicans are willing to inflict on their own constituents to reward their billionaire donors.”