'Right down the line': Medicaid reform in 'big, beautiful bill' divides lawmakers by party
Medicaid reform in President Donald Trump's "big, beautiful bill" has drawn a partisan line through Congress.
Democrats have railed against potential Medicaid cuts since Trump was elected, while Republicans have celebrated Medicaid reform through the reconciliation process as an efficient way to eliminate waste, fraud and abuse in the welfare program.
Fox News Digital asked lawmakers from both ends of the political spectrum to react to the One Big Beautiful Bill Act's Medicaid reform. The results were as expectedly divided.
"This is all B.S., what the Democrats are doing," Sen. Tommy Tuberville, R-Ala., told Fox News Digital. "They're pushing the agenda that we're cutting 10 million people off Medicaid. It's people that actually shouldn't be on it, illegals that shouldn't be on it. We're reforming it."
The Congressional Budget Office (CBO), a nonpartisan federal agency that has been ridiculed by Republicans, estimated this week that Trump's "big, beautiful bill" would leave 10.9 million people without health insurance, including 1.4 million who are in the country without legal status in state-funded programs.
But Republicans are holding firm in their defense of Medicaid reform, which Republicans say only cuts benefits to illegal immigrants, those ineligible to receive benefits who are currently receiving benefits, duplicate enrollees in one or more states and those who are able but choosing not to work.
"The people who would not continue to get Medicaid benefits under this bill were not qualified to get them in the first place," Sen. John Kennedy, R-La., told Fox News Digital.
Democrats continue to sound off on the healthcare threat of eliminating 10 million people from Medicaid. Not a single House Democrat voted to pass Trump's championed legislation, which includes fulfilling key campaign promises like cutting taxes, immigration reform and American energy production.
"These burdensome regulatory requirements for proving that somebody has obtained or sought work are going to mean millions of people will go without healthcare, and the restrictions on food assistance are equally an obstacle to people meeting their everyday needs," Sen. Richard Blumenthal, D-Conn., said.
Blumenthal added he is "very, very concerned about these seemingly cruel and unproductive ways of raising money simply to finance tax cuts" for "wealthy billionaires."
New Jersey Democratic Sen. Andy Kim said he is happy to have an "honest conversation" about government efficiency and saving taxpayer dollars, but that's not the reality of this bill.
"People are struggling, and I feel like, in the richest, most powerful country in the world, we should be able to make sure that people can have the basic needs they need to be able to survive," Kim said of Medicaid and Supplemental Nutrition Assistance Program (SNAP) benefits.
Sen. Jeff Merkley, D-Ore., told Fox News Digital there is "nothing beautiful" about Trump's "big, beautiful bill."
"This is horrific, and it adds massive amounts to our debt, compromising our ability to [fund] the fundamentals in the future, foundations for families to thrive — health care, housing, education, good-paying jobs. That's what we should be doing here, not doing massive tax cuts for billionaires and paying for them by tearing down programs for ordinary families," Merkley said.
The national debt stands at more than $36.2 trillion as of June 5, according to the Fox Business, based on data from the Treasury Department.
The CBO's report this week also estimated Trump's bill will cut taxes by $3.7 trillion while raising deficits by $2.4 trillion over a decade.
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At the same time House Speaker Mike Johnson has signaled more potential problems ahead, warning the Senate package could run into trouble when it is sent back to the House for a final round of voting, as skeptical lawmakers are being called back to Washington ahead of Trump's Fourth of July deadline. 'I have prevailed upon my Senate colleagues to please, please, please keep it as close to the House product as possible,' said Johnson, the Louisiana Republican. House Republicans had already passed their version last month. It's a pivotal moment for the Republicans, who have control of Congress and are racing to wrap up work with just days to go before Trump's holiday deadline Friday. The 940-page 'One Big Beautiful Bill Act,' as it's formally titled, has consumed Congress as its shared priority with the president. In a midnight social media post urging them on, Trump called the bill 'perhaps the greatest and most important of its kind.' Vice President JD Vance summed up his own series of posts, simply imploring senators to 'Pass the bill.' The GOP leaders have no room to spare, with narrow majorities in both chambers. Thune can lose no more than three Republican senators, and already two — Sen. Thom Tillis of North Carolina, who warns people will lose access to Medicaid health care, and Sen. Rand Paul of Kentucky, who opposes raising the debt limit — have indicated opposition. Tillis abruptly announced over the weekend he would not seek reelection after Trump threatened to campaign against him. Attention quickly turned to key senators, Lisa Murkowski of Alaska and Susan Collins of Maine, who have also raised concerns about health care cuts, but also a loose coalition of four conservative GOP senators pushing for even steeper reductions. And on social media, billionaire Elon Musk was again lashing out at Republicans as 'the PORKY PIG PARTY!!' for including a provision that would raise the nation's debt limit by $5 trillion, which is needed to allow continued borrowing to pay the bills. Senate Democratic Leader Chuck Schumer of New York said his side was working to show 'how awful this is.' 'Republicans are in shambles because they know the bill is so unpopular,' Schumer said as he walked the halls. A new analysis from the nonpartisan Congressional Budget Office found 11.8 million more Americans would become uninsured by 2034 if the bill became law. The CBO said the package would increase the deficit by nearly $3.3 trillion over the decade. Senators to watch Few Republicans appear fully satisfied as the final package emerges, in either the House or Senate. Tillis said it is a betrayal of the president's promises not to kick people off health care, especially if rural hospitals close. Collins had proposed bolstering the $25 billion proposed rural hospital fund to $50 billion, but her amendment failed. And Murkowski was trying to secure provisions to spare people in her state from some health care and food stamp cuts while also working to beef up federal reimbursements to Alaska's hospitals. They have not said how they would vote for the final package. 'Radio silence,' Murkowski said when asked. At the same time, conservative Senate Republicans proposing steeper health care cuts, including Rick Scott of Florida, Mike Lee of Utah, Ron Johnson of Wisconsin and Cynthia Lummis of Wyoming, filed into Thune's office for a near-midnight meeting. The Senate has spent some 18 hours churning through more than two dozen amendments in what is called a vote-a-rama, a typically laborious process that went on longer than usual as negotiations happen on and off the chamber floor. The White House legislative team also was at the Capitol. A few of the amendments — to strike parts of the bill that would limit Medicaid funds to rural hospitals or shift the costs of food stamp benefits to the states — were winning support from a few Republicans, though almost none were passing. Sen. Mike Crapo, the GOP chairman of the Finance Committee, dismissed the dire predictions of health care cuts as Democrats trafficking in what he called the 'politics of fear.' What's in the big bill All told, the Senate bill includes $4.5 trillion in tax cuts, according to the latest CBO analysis, making permanent Trump's 2017 rates, which would expire at the end of the year if Congress fails to act, while adding the new ones he campaigned on, including no taxes on tips. The Senate package would roll back billions of dollars in green energy tax credits, which Democrats warn will wipe out wind and solar investments nationwide. It would impose $1.2 trillion in cuts, largely to Medicaid and food stamps, by imposing work requirements on able-bodied people, including some parents and older Americans, making sign-up eligibility more stringent and changing federal reimbursements to states. Additionally, the bill would provide a $350 billion infusion for border and national security, including for deportations, some of it paid for with new fees charged to immigrants. Democrats fighting all day and night Unable to stop the march toward passage, the Democrats as the minority party in Congress are using the tools at their disposal to delay and drag out the process. Democrats forced a full reading of the text, which took 16 hours, and they have a stream of amendments. Sen. Patty Murray of Washington, the ranking Democrat on the Appropriations Committee, raised particular concern at the start of debate late Sunday about the accounting method being used by the Republicans, which says the tax breaks from Trump's first term are now 'current policy' and the cost of extending them should not be counted toward deficits. She said that kind of 'magic math' won't fly with Americans trying to balance their own household books. ___ Associated Press writers Ali Swenson, Fatima Hussein, Michelle L. Price, Kevin Freking, Matt Brown, Seung Min Kim and Chris Megerian contributed to this report.
