House Republicans unveiled legislation late Sunday that would impose significant restrictions on Medicaid as part of a broader tax package aligned with President Trump’s agenda, sparking immediate concern among voters and advocacy groups who say the move could jeopardize care for millions. The bill, put forward by the House Energy and Commerce Committee, introduces new work requirements and more frequent eligibility checks for beneficiaries changes that could result in substantial coverage losses across the country.
The proposal does not include the most extreme cuts that some conservatives had called for, such as capping federal Medicaid spending per beneficiary or slashing the federal share given to states. However, even without those measures, the bill still outlines an estimated $900 billion in savings, signaling deep structural changes that are likely to affect access and continuity of care for many.
While the committee appears to be seeking a middle ground to satisfy both moderate Republicans and fiscal hardliners, the response from the public and health policy advocates has been swift and skeptical. The proposed restrictions are already drawing backlash from those who warn that increasing administrative burdens and tying coverage to work could leave vulnerable populations especially low-income families, the elderly, and people with disabilities without essential medical support.
Energy and Commerce Chair Brett Guthrie defended the proposal in an opinion piece published ahead of the bill’s release, insisting that the changes should not be interpreted as cuts. He claimed the legislation “preserves and strengthens” Medicaid for those it was originally intended to serve. Still, that message may not resonate with many Americans who see the move as a step toward limiting government support for healthcare during a time when costs and coverage gaps remain a pressing concern.
The plan is expected to face a grueling hearing on Tuesday as lawmakers brace for a wave of criticism. With the Trump administration continuing to push sweeping reforms under the banner of efficiency and budget discipline, this latest proposal risks further alienating voters who rely on Medicaid and view such changes as punitive. Many are already expressing frustration, warning that this approach could erode support for the Republican Party ahead of a contentious election cycle.