Politico reports:

House Republicans who represent large numbers of Medicaid recipients are pushing back on their leaders’ plans to slash billions in funding for the insurance program for low-income people.

That dissension could grow considering that President Donald Trump has made the GOP more appealing to the working class. Republicans rely on low-income voters more than they have in decades, with Trump the first Republican presidential candidate to win the poorest third of the electorate since the 1960s.

A POLITICO review of enrollment in Medicaid by congressional district found that 11 Republicans in competitive seats represent larger-than-average Medicaid populations — collectively nearly 2.7 million recipients. A vote to cut the program presents a politically sensitive decision that may come back to haunt them in 2026.

With a 218-215 House split — the tightest in modern history — Republicans will be fighting for every seat during the midterms to keep control of the chamber. And they can only lose one vote in the House and still pass their budget bill.

House Republican leaders plan to use Medicaid cuts to pay for tax relief, border security and energy production in the coming weeks.

“The bulk of these cuts would have to be in Medicaid, and that’s why they’re not going to get the requisite votes they need to get it passed with the margins that they have right now,” said Bill Hoagland, senior vice president at the Bipartisan Policy Center and a former GOP Senate Budget Committee staffer. “Leaders are going to have a lot of difficulty getting the votes to pass this resolution.”

Nationally, about 24 percent of people in the United States are enrolled in Medicaid, according to an estimate compiled by NYU Langone Health. Just over 72 million people nationwide had Medicaid coverage as of October 2024, according to the Centers for Medicare and Medicaid Services. [Continue reading…]