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American Focus > Blog > Health and Wellness > House GOP releases plans to reshape Medicaid
Health and Wellness

House GOP releases plans to reshape Medicaid

Last updated: May 12, 2025 5:25 pm
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House GOP releases plans to reshape Medicaid
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House Republicans have put forth new proposals to reform Medicaid spending, including adding work requirements for some recipients and reducing federal funding for states that cover undocumented immigrants. These policies were outlined in a plan released by the Energy and Commerce Committee, which is set to discuss its portion of the budget reconciliation package on Tuesday.

The goal of these proposals is to reduce government spending by $880 billion over the next decade in order to offset the costs of President Trump’s tax cuts and other legislative priorities. The Congressional Budget Office has noted that the committee’s bill exceeds the $880 billion target, although detailed estimates on specific provisions have not yet been provided. In addition to healthcare-related measures, the bill also includes initiatives such as auctioning off wireless spectrum and rolling back certain energy policies implemented during the Biden administration.

One of the key components of the proposed Medicaid reforms is the introduction of work requirements for certain recipients. This would entail recipients being required to engage in employment, job training, or community service in order to maintain their eligibility for Medicaid benefits. Proponents of this policy argue that it incentivizes self-sufficiency and reduces dependency on government assistance.

Another significant change proposed by House Republicans is the reduction of federal Medicaid funding for states that provide coverage to undocumented immigrants. This measure aims to restrict access to Medicaid for non-citizens who are in the country illegally, thereby saving federal dollars and prioritizing resources for eligible U.S. citizens and legal residents.

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As discussions unfold within the Energy and Commerce Committee, it remains to be seen how these Medicaid reforms will impact the overall budget reconciliation package. With the goal of achieving substantial savings over the next decade, House Republicans are pushing for these changes to be implemented alongside other fiscal measures. The outcome of these deliberations will have far-reaching implications for Medicaid recipients, states, and the broader healthcare landscape in the United States.

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