Overview

• The House approved the GOP tax reconciliation bill in a razor-thin 215–214 vote, sending it to the Senate for further consideration.
• The legislation would slash $880 billion from Medicaid over ten years, an acknowledgment made public by Trump adviser David Sacks.
• New work requirements for able-bodied Medicaid recipients aim to curb enrollment but draw criticism over added paperwork burdens.
• A nonpartisan Congressional Budget Office report projects that roughly 10 million Americans could lose Medicaid coverage by 2034 under the proposal.
• President Trump and Speaker Mike Johnson maintain the changes target “waste and abuse,” but the admitted cuts and impending Senate revisions threaten the bill’s viability.