Allison Orris

#Medicaid turns 60 at a critical moment. It remains essential for millions of children, adults, people with disabilities and seniors with low incomes. Republican cuts will reshape it, but the focus now is helping people who need it keep their coverage in years to come. #HappyBirthdayMedicaid

#HappyBirthdayMedicaid!

#Medicaid is a lifeline for more than 71 million people. Marking its 60th birthday with more than $900B in cuts isn't the celebration many of us had in mind, but Medicaid will continue to be a core part of our nation's health system.

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained In partnership with On July 4, 2025, President Trump signed the Congressional Republican budget reconciliation bill into law (H.R. 1 or P.L. 119-21).  Earlier, on July 1, 2025, the Senate pass…

ICYMI: from Georgetown CCF and CHIR our comprehensive analysis of the budget's reconciliation law's draconian #Medicaid, CHIP and ACA Marketplace cuts as well as other health provisions. It includes an effective date table and incorporates new CBO cost estimates: ccf.georgetown.edu/2025/07/22/m...

We all want to live in communities where all our neighbors have a safe place to call home and are treated with dignity. But yesterday, Pres. Trump issued an executive order that will worsen #homelessness and punish people simply for being poor and unhoused. This is wrong.

The Republican agenda gives massive tax cuts to the wealthy and corporations, cuts health coverage and food assistance, raises costs for millions, and adds trillions to the deficit.

Administration to Phase Out Expanded Medicaid Continuous Eligibility for Children, Others | Center on Budget and Policy Priorities July 17, 2025: The Centers for Medicare & Medicaid Services (CMS) announced it does not anticipate renewing or approving state policies that extend Medicaid continuous eligibility (CE) for certain gro...

📢 New Executive Action Tracker Entry: Administration to Phase Out Expanded Medicaid Continuous Eligibility for Children, Others www.cbpp.org/research/fed...

Administration to Phase Out Medicaid Policies Supporting the Health Care Workforce | Center on Budget and Policy Priorities July 17, 2025: The Centers for Medicare & Medicaid Services (CMS) announced it does not anticipate renewing or approving state policies aimed at building and strengthening the health care workforce.It...

📢 New Executive Action Tracker Entry: Administration to Phase Out Medicaid Policies Supporting the Health Care Workforce www.cbpp.org/research/fed...

The latest CBO estimates make clear that the so-called “Big Beautiful Bill” is anything but--it would cause widespread harm with more than $1T in cuts to Medicaid & ACA marketplaces and higher costs for families trying to afford health care and groceries.

Holy shit wait for it

As House moves to pass the Senate-passed reconciliation bill and its draconian #Medicaid cuts, a reminder that they are doing so without updated CBO cost estimates and any detailed coverage estimates in order to meet an artificial White House deadline.

As the House moves to consider Senate-passed bill and its nearly $1 trillion in #Medicaid cuts, here we some key things to know 👇

I regret to inform you that Republicans' SNAP cost-shift plan has gotten significantly more absurd in the 24 hours since I posted this.

The reconciliation bill's policy kicking immigrant survivors of domestic violence off SNAP in the reconciliation bill take effect immediately. If it passes into law, some of the most in-need household may suddenly be without food.

Poorest Americans Would Be Hurt By Trump’s Big Bill Small improvements in taxes are overshadowed by cuts to health insurance and other federal aid, resulting in a package favoring the wealthy.

Millions of low-income Americans could experience staggering financial losses under the bill that Republicans advanced through the Senate on Tuesday, which reserves its greatest benefits for the rich while threatening to strip health insurance, food stamps and other aid from the poor.

If you imagine the safety net as an actual piece of tattered fabric, earlier repeal efforts looked like cutting wide swathes from the edges, more explicitly shrinking eligibility and spending.

This bill leaves leaves the edges largely intact — but adds new holes and makes the existing ones bigger.

House Should Reject Senate Republican Bill That Is Even Worse Than Already Harmful House Version in Important Ways | Center on Budget and Policy Priorities Following a series of middle-of-the-night backroom deals, and less than an hour after the final language was unveiled, Senate Republicans voted to pass a bill that would raise food and health care cos...

Senate Rs voted to pass a bill that wld raise food & health care costs on families, increase hunger & take health coverage away from millions of ppl while doubling down on tax cuts for the wealthy. House Rs must stand up for their communities & reject it. www.cbpp.org/press/statem...

This language is nearly identical to Sec 112 of House-passed 2017 repeal bill (AHCA) entitled "Repeal of Medicaid Expansion." Starting 1/1/31 would eliminate the 90% match for the #Medicaid expansion except for those already enrolled. Would cause states to drop expansion due to massive cost shift.

This effectively repeals Medicaid expansion in only a few years. New analysis here: cbpp.org/research/med...

The Senate reconciliation bill will already gut state financing of #Medicaid expansion by eliminating existing provider tax revenue forcing states to drop it. The end of expansion would be virtually certain if the 90% federal matching rate is also eliminated and federal financing is slashed.

TSen. Scott amendment effectively repeals Medicaid expansion in only a few years. New analysis here: www.cbpp.org/research/med...

@edwincpark.bsky.social explains last night's Congressional Budget Office analysis of the Senate Republican reconciliation bill. TLDR: Senate bill would cut gross federal #Medicaid and CHIP spending by $1.02 trillion over the next ten years, more than the House-passed bill cuts.

Estimated Budgetary Effects of an Amendment in the Nature of a Substitute to H.R. 1, the One Big Beautiful Bill Act, Relative to the Budget Enforcement Baseline for Consideration in the Senate As posted on the website of the Senate Committee on the Budget on June 27, 2025

New Congressional Budget Office (CBO) numbers confirm what we already knew – the reconciliation bill is getting worse, not better. The Senate bill will cut health care more deeply than the House bill and leave more people uninsured. www.cbo.gov/publication/...

A $25b rural hospital fund is barely a fig leaf compared to massive 10-year cuts in Medicaid payments and Medicaid and ACA coverage. But it will sound big to many voters and its cover for some Rs to vote for the bill. Will the media call it like it is?

Senate GOP holdouts were promised a vote on a Rick Scott proposal to lower the 90% federal matching share for new Medicaid enrollees in expansion states, per Ron Johnson.

Byrd Bath Violations Continue to Roll in on Republicans’ “One Big, Beautiful Bill” | U.S. Senate Committee On The Budget The Official U.S. Senate Committee On The Budget

The parliamentarian has ruled that increased federal Medicaid payments for Alaska and Hawaii violate the Byrd rule. Also increased Medicare rates for outpatient hospitals in those states.
www.budget.senate.gov/ranking-memb...

To give sense of how much harsher Senate bill's #Medicaid cuts are than House-passed bill's draconian cuts, new CBO scores show Senate has $1.02T/10 yrs in gross Medicaid/CHIP cuts (before interactions) compared to House bill's $863.4B in gross cuts (before interactions). www.cbo.gov/publication/...

www.cbpp.org/press/statem...

Senator Hawley has raised concerns about #Medicaid cuts for months. Now he's voting for a bill with draconian Medicaid cuts even harsher than in the House-passed bill which already make 7.8M uninsured. This includes Senate changes directly harming Missouri's provider tax financing for Medicaid.