House Speaker Mike Johnson (R-La.) has firmly stated that two of the most contentious proposals for reducing Medicaid spending are “off the table.”
This announcement comes as Republicans work to align on a budget plan that supports President Trump’s domestic policy priorities, including tax cuts and enhanced border security.
“We’re not going to cut into those programs that way,” Johnson emphasized, addressing concerns about potential benefit reductions.
Instead, he highlighted the GOP’s focus on eliminating “waste, fraud, and abuse” within Medicaid, ensuring that benefits remain intact for those who genuinely need them.
Balancing Fiscal Responsibility with Program Integrity
The GOP’s budget blueprint aims to achieve significant savings, with the House Energy and Commerce Committee tasked with identifying $880 billion in reductions over the next decade.
While some conservatives advocate for more aggressive cuts, Johnson and other leaders are seeking a balanced approach that maintains essential services.
Proposed reforms include implementing federal work requirements for Medicaid recipients, excluding noncitizens from eligibility, and allowing states to conduct eligibility checks more frequently.
These measures are designed to ensure that Medicaid resources are directed to those who meet the program’s criteria, promoting both fiscal responsibility and program integrity.
Despite Johnson’s assurances, some conservative lawmakers, such as Rep. Chip Roy (R-Texas), continue to push for more substantial reductions.
Roy expressed skepticism about ruling out certain cost-saving measures, stating, “Well — I haven’t ruled it out.”
He further emphasized the need to prioritize resources for the most vulnerable, adding, “It’s necessary to stop robbing from the vulnerable to fund the able-bodied.”
In response to the GOP’s budget proposals, House Democrats, led by Minority Leader Hakeem Jeffries, are attempting to block the suggested Medicaid reforms.
They have initiated a discharge petition, aiming to force a vote on legislation that would prevent the proposed changes.
However, with Republicans holding a majority in the House, the success of this effort remains uncertain.
Is healthcare among the enumerated powers?
No.
So Medicaid spending is?
Unconstitutional.
Play by the rules or go home.