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=== Proposed 2025 cuts === During 2025, Republican Congressional leaders [[John Thune]] and [[Mike Johnson]] announced goals of cutting 1.5 to 2 trillion dollars of the [[US federal budget]]. President [[Donald Trump]] stated that cuts to Medicaid would only include "abuse or waste"; Congressional proposals included various cuts, such as lowering the federal matching rate, eliminating "provider taxes,"{{ r | NPR_2025-02-10 }} making maximum Medicaid payments dependent on state population size, or requiring all [[Social determinants of health|able bodied]] individuals to be employed in order to be eligible for Medicaid.<ref>{{Cite journal |last=Schubel |first=Jessica |last2=Barkoff |first2=Alison |last3=Kaye |first3=H. Stephen |last4=Cohen |first4=Marc A. |last5=Tavares |first5=Jane |title=History Repeats? Faced With Medicaid Cuts, States Reduced Support For Older Adults And Disabled People |url=https://www.healthaffairs.org/content/forefront/history-repeats-faced-medicaid-cuts-states-reduced-support-older-adults-and-disabled |journal=Health Affairs Forefront |language=en |doi=10.1377/forefront.20250414.154091}}</ref><ref name=NPR_2025-02-10 >{{ cite news | url=https://www.npr.org/sections/shots-health-news/2025/02/10/nx-s1-5289001/trump-republicans-medicaid-proposals | title=Why many Republicans think shrinking Medicaid will make it better | last=Levi | first=Ryan | newspaper=[[NPR]] | date=2025-02-10 | quote=In particular, Scully and other conservatives take issue with what's known as a provider tax which allows states to raise revenue from hospitals and nursing homes for their programs. Under this provision, for example, if a state wants to increase Medicaid spending by $1 million, it could assess a $500,000 tax on hospitals, and then spend that money on Medicaid services. The federal government would, in response, cut a $500,000 check to match. Critics like Scully deride provider taxes as "money laundering" because states often return those provider tax dollars to the hospitals in the form of higher reimbursement rates. As a result, hospitals break even or better, and the states, like the kid with the credit card, have more money and can spend it with less fiscal responsibility. }}</ref><ref>{{Cite web|url=https://www.cnn.com/2025/02/10/politics/gop-cuts-trump-agenda-house-senate/index.html|title=GOP fight over cuts stalls Trump agenda in the House as Senate forges ahead | CNN Politics|first=Lauren Fox, Sarah|last=Ferris|date=February 10, 2025|website=CNN}}</ref><ref>{{Cite web|url=https://www.politico.com/live-updates/2025/01/31/congress/trump-love-and-cherish-medicaid-00201893|title=Trump vows to ‘love and cherish’ Medicaid — while Republicans plot cuts for savings|date=January 31, 2025|website=POLITICO}}</ref><ref>{{Cite web |last=Rosenbaum |first=Sara |last2=Cohen |first2=Marc |last3=Tavares |first3=Jane |last4=Barkoff |first4=Alison |date=April 30, 2025 |title=Who's Affected by Medicaid Work Requirements? It's Not Who You Think |url=https://www.milbank.org/quarterly/opinions/whos-affected-by-medicaid-work-requirements-its-not-who-you-think/ |access-date=2025-05-14 |website=Milbank Memorial Fund |language=en-US |doi=10.1599/mqop.2025.0430}}</ref> The 2025 [[United States budget process#Budget resolution|budget resolution]], which was passed by the House of Representatives with only Republicans votes, proposed cutting $880 billion dollars from the Standing Committee for Energy and Commerce, which includes many areas, such as Medicaid and Medicare.<ref>Text: H.Con.Res.14 — 119th Congress (2025-2026){{Cite web|url=https://www.hcinnovationgroup.com/policy-value-based-care/article/55270805/breaking-republicans-pass-spending-bill-with-dramatic-potential-medicaid-cuts|title=BREAKING: Republicans Pass Spending Bill with Dramatic Potential Medicaid Cuts|first=Mark|last=Hagland|date=February 26, 2025|website=Healthcare Innovation}}</ref><ref>{{Cite web|url=https://www.theguardian.com/us-news/2025/feb/25/republicans-spending-deal-medicaid-cuts|title=Republican budget blueprint to fund Trump’s agenda narrowly passes House|first1=Joseph|last1=Gedeon|first2=Lauren|last2=Gambino|date=February 26, 2025|via=The Guardian}}</ref><ref>{{Cite web|url=https://www.fiercehealthcare.com/payers/house-budget-plan-advances-paving-way-major-medicaid-cuts|title=House budget plan advances, paving way for major Medicaid cuts|first=Noah|last=Tong|date=February 25, 2025|website=www.fiercehealthcare.com}}</ref>
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