What Congress Is Saying About Medicaid Reform
April showers bring May…Medicaid reform. That’s right, the hottest topic on Capitol Hill is how to make sure Medicaid is healthy for the long haul and able to serve people who truly need it.
In case you missed it, here’s the rundown:
As part of the reconciliation budget process, Congress is looking for (and finding!) taxpayer savings all across the federal budget.
One of the biggest opportunities for cost-saving reform is to eliminate some waste, fraud, and abuse in Medicaid, such as improper payments, sweetheart deals, money laundering, and giving taxpayer-funded welfare benefits to illegal immigrants. Promoting work instead of welfare for able-bodied adults without young children is also a major opportunity to improve lives and preserve resources for the truly needy.
Despite Democrats’ hysterics over “cuts” to Medicaid, these reforms don’t even reduce spending—they merely slow it down over the next decade. The fact that there’s a potential for nearly $1 trillion in savings and it wouldn’t reduce spending should tell you all you need to know about the unsustainable path our Medicaid program is currently on. For more on that, click here.
The crocodile tears from the Left aren’t working. When told the truth about Medicaid spending, Americans support the Republican plan—or want it to go even further.
Reforming Medicaid is urgent and essential.
.@POTUS: "We will be saving Medicaid for Americans in need. We will not let the Democrats destroy it, and all the waste, fraud, and abuse that they seem to love. They will decimate Medicaid if they get the chance. We're not going to give them that chance." pic.twitter.com/EZhzzqGcwH
— Rapid Response 47 (@RapidResponse47) May 1, 2025
Here’s what members of Congress have to say about popular, commonsense Medicaid reform:
Speaker Mike Johnson (R-LA): Do not believe the lies!
The Hill | Speaker Johnson: US must ‘eliminate people on Medicaid’ who are not ‘eligible to be there’
“The president has made absolutely clear many times, as we have as well, that we’re going to protect Medicare, Social Security, Medicaid, for people who are legally beneficiaries of those programs,” Johnson told Maria Bartiromo on Fox News’s “Sunday Morning Futures.”
“There are a lot of Americans who rely upon those — those programs, and we’ve got to ensure that they’re safeguarded,” he said. “At the same time, we have to root out fraud, waste and abuse, we have to eliminate on, for example, on Medicaid who are not actually eligible to be there. Able-bodied workers, for example, young men, who are — who should never be on the program at all,” he added.
“And … when you have people on the program that are draining the resources, it takes it away from the people that are actually needing it the most and are intended to receive it. You’re talking about young single mothers down on their fortunes at the moment, the people with the real disabilities, the elderly.”
Majority Leader Steve Scalise (R-LA):
Bonus: Leader Scalise also recently spoke to CNBC’s Squawk Box, sharing why so many of his colleagues support the reconciliation bill. Key quote: “Obviously, work requirements in Medicaid is the place you would start.”
Majority Whip Tom Emmer (R-MN):
CNN attacks @GOPMajorityWhip Tom Emmer over whether Medicaid has waste, fraud, and abuse. @CNN, we did your homework for you — you’re welcome!
— Rep. Scott Perry (@RepScottPerry) March 19, 2025
Below are recent cases of fraud:
• Dana Mason, 63, of Philadelphia, allegedly billed Medicaid for personal care services for a… pic.twitter.com/RIWrMHlnq2
Rep. Chip Roy (R-TX):
Our letter to our @HouseGOP colleagues on reconciliation, urging: “If the House budget reconciliation package does not include structural Medicaid reform… we will be setting up massive tax increases and benefit cuts in the future.” – The time is now for needed reform. pic.twitter.com/FJb917r0XZ
— Chip Roy (@chiproytx) May 1, 2025
Rep. Andy Harris (R-MD):
“It should scare every senior that we are spending more on medical care for healthy, able-bodied adults in the Medicaid program than for our seniors.”
— Rep. Andy Harris, MD (@RepAndyHarrisMD) April 30, 2025
More in my House Floor speech below ⤵️ pic.twitter.com/qk7wUT2P9J
Sen. Ted Cruz (R-TX):
Sen. Mike Lee (R-UT):
Obamacare sucks
— Mike Lee (@BasedMikeLee) May 2, 2025
It’s making America poorer
And sicker
We can’t continue to ignore it
It’s only going to get worse https://t.co/dkgwTT2kBZ
Rep. Jim Jordan (R-OH):
🚨JORDAN: "We're not looking to make cuts to Medicaid, but certainly work requirements are something that I don't view as cuts."
— Western Lensman (@WesternLensman) February 23, 2025
"Work requirements are just common sense." pic.twitter.com/eLIS8LwKtA
Rep. Eric Burlison (R-MO):
Joe Biden eliminated state work requirements and opened the floodgates for fraud and abuse in Medicaid.
— Rep. Eric Burlison (@RepEricBurlison) April 28, 2025
Congress must protect these programs for the truly vulnerable. pic.twitter.com/lJ6t1J3AG0
Rep. Tom McClintock (R-CA):
Medicaid now costs more than the defense budget, taking $6,900 a year from an average household to support. Restoring the work requirement for able-bodied adults, prosecuting fraud and ending services to non-citizens will preserve the program for those who depend on it.
— Tom McClintock (@RepMcClintock) April 23, 2025
Rep. Mike Lawler (R-NY):
🇺🇸 REP. LAWLER: $1.2B IN MEDICAID GOING TO ILLEGALS IN NY—WORK REQUIREMENTS AND VERIFICATION NEEDED
— Mario Nawfal (@MarioNawfal) April 22, 2025
"Over the next 10 years, we’re projected to spend $86 trillion. We’re looking at just 1.5 trillion in savings—only 1.7%.
Medicaid costs will rise 24%.
We’re simply talking… https://t.co/GoaWcqsz4p pic.twitter.com/8pqPWIysZr
Rep. Nicole Malliotakis (R-NY):
Rooting out waste, fraud, and abuse, imposing work requirements for the able-bodied, and removing illegal immigrants like the 480,000 receiving benefits in New York, will help preserve Medicaid for the seniors, disabled and most vulnerable citizens it was created to protect. pic.twitter.com/tMnaKXIJMD
— Office of Rep. Nicole Malliotakis (@RepNicole) May 1, 2025
Rep. Gabe Evans (R-CO):
Colorado is 1 of just 7 states that provides Medicaid to people here illegally. Next year $32 million will be spent on healthcare for illegal immigrants.
— Congressman Gabe Evans (@repgabeevans) April 29, 2025
That is money that should be going to lawful beneficiaries instead. pic.twitter.com/n7V18DX36d
Rep. Scott Perry (R-PA):
House Republicans are INCREASING Medicaid spending by 25% over 10 years. I'm vehemently opposed to eliminating this critical safety net. Fraudsters are skimming too much off the top – cheating you and the system. Eliminating the waste, fraud, and abuse is the only way to ensure… pic.twitter.com/AcyaJof1SU
— Rep. Scott Perry (@RepScottPerry) April 30, 2025
Sen. John Cornyn (R-TX):
Rep. Josh Brecheen (R-OK):
More than 6 in 10 able-bodied adults on Medicaid report no earned income according to a report from @TheFGA.
— Congressman Josh Brecheen (@RepBrecheen) May 2, 2025
This shows just how much this program has been abused over the past few years.
We must reform Medicaid. pic.twitter.com/44ashF21rr
Sen. Ron Johnson (R-WI):
Rep. Tom Tiffany (R-WI):
.@DOGE uncovered that at least 1.3 MILLION noncitizens are receiving Medicaid.
— Rep. Tom Tiffany (@RepTiffany) April 8, 2025
This is the fraud and abuse Republicans want to root out to SAVE the program for future Americans.
Rep. Keith Self (R-TX):
Obamacare drastically expanded Medicaid far outside its intended recipients.
— Rep. Keith Self (@RepKeithSelf) May 2, 2025
Today, able-bodied adults are on track to become the largest subgroup on Medicaid.
👉Congress must put an end to this abuse of taxpayer dollars immediately. https://t.co/fN4rNsecJt
Rep. Jodey Arrington (R-TX):
NPR | House budget bill should preserve Medicaid’s ‘original purpose,’ says Rep. Jeff Hurd
Rep. Jeff Hurd:
“My district is Colorado’s Third Congressional District and nearly one in three people in that district rely on Medicaid. When I talk about vulnerable populations from my perspective, I’m talking on preserving the original purpose of Medicaid, providing health care for low-income groups, people like children, seniors who are dual enrolled in Medicare, pregnant women, individuals with disabilities, and families who can’t afford private insurance.”