From left, parents Jessica Seawright and Brooke Wampole talk with Sen. Tammy Baldwin about their concerns over the impact of Medicaid cuts on families with children such as theirs who have disabilities. (Screenshot/Zoom)

As members of Congress continue to debate the Republican budget reconciliation bill that includes hundreds of billions of dollars in cuts to Medicaid, Jessica Seawright ponders what that could mean for her young son.

Seawright is a social worker in Southeast Wisconsin. She’s also the mother of a 9-year-old boy with complex medical needs resulting from a genetic condition.

She and her husband — a college professor — have medical coverage through work, but with her son’s condition, which includes cerebral palsy, their health plans could never cover the degree of care he requires.

Medicaid has made the difference, Seawright said Wednesday. It’s helped through the Katie Beckett  program, which enables children with disabilities to have Medicaid coverage while living at home instead of being in an institution; the Medicaid children’s long-term support coverage; and Medicaid support that public schools receive to cover certain services that students with disabilities require.

Her son has been able to thrive living with her and her husband, Seawright said — but worry clouds the future.

“We look toward his adulthood, knowing that disability and aging programs that would support him staying in the community — where we, our family and our community, know he belongs — are being dismantled and defunded,” Seawright said. “Forcing us and others like us into medical bankruptcy is not a solution.”

Seawright was one of two parents who said Wednesday that their lives and their children’s lives could be profoundly upended by the Medicaid reductions that are included in the budget reconciliation proposal.

They spoke during a webinar conducted by Sen. Tammy Baldwin (D-Wisconsin), who has been an outspoken critic of the budget bill’s Medicaid cuts.

“Our neighbors, our friends and our colleagues at work who rely on Medicaid and are scared, really scared,” Baldwin said. She cited estimates produced by Democrats on the Joint Economic Committee that with cuts to Medicaid as well as to the Affordable Care Act, the legislation could reduce health care for nearly  14 million Americans, including almost 230,000 Wisconsin residents.

The money saved, she added, would be used to extend and expand tax cuts enacted in 2017, during the first Trump administration. The Center on Budget and Policy Priorities has said the tax cuts primarily favor the wealthy and corporations.

“It’s giveaways for their wealthy friends at the cost of Americans’ health and lives,” Baldwin said. “That’s the deal.”

Baldwin said the choice that U.S. House Republicans made to advance the bill in committee in the early hours of Wednesday morning was a sign that “Republicans know what they’re doing is deeply unpopular.”

She dismissed claims that the objective of the bill’s authors was to address waste, fraud or abuse in Medicaid and other safety net programs.

“I would be happy to come to the table to write a bill that truly gets at fraud and abuse,” Baldwin said. “We want that out of Medicaid. We want that out of Medicare. But that is not what this bill does. This bill terminates health care for Wisconsin families.”

Besides being a mother of a child who has been helped by Medicaid’s programs, Seawright has experienced Medicaid through two other lenses.

When she and her sister were growing up, their mother was relying on Medicaid for the family’s health care. That helped give the family stability so that her mom could go to community college, become a medical assistant and get full-time work in health care with insurance through her employer, Seawright said.

In her own job as a social worker, she added, some of the clients she works with have Medicaid.

Both her childhood experience and her role as a mental health provider have made her critical of proposals to cut Medicaid, Seawright said — especially one to add work requirements as a condition for adults considered “able-bodied” to enroll in Medicaid.  

“Creating more barriers for people to access the care they need … individuals losing their primary care providers and their specialists, from my perspective, is just a cruel response that is steeped in distrust of those of us who are doing the work day to day,” Seawright said.

Also on the webinar was Brooke Wampole, who lives in northern Wisconsin. She and her husband have a 4-year-old son who was found to have long delays in his development.

About two years ago he was screened and qualified for services and therapies covered by Medicaid programs for children with disabilities, and over time, his clinicians helped him first to “exist, to self-regulate, to see the world around him and not find it to be a threat,” Wampole said.

The family’s regular health insurance “could never cover the cost” those treatments required. “ Medicaid programs “have been absolutely instrumental in our lives.”

In the last year, her son has begun speaking one-syllable words. “My favorites or Mommy and Dada,” Wampole said, then added with a smile, “however, he is pretty partial to talking about trapezoids. And raisins.”

The thought of losing Medicaid coverage “is terrifying,” Wampole said — both because of the loss of services for her son, but also because of its impact on other families.

“I worry what our world looks like without Medicaid,” Wampole said. “Other families, they could be way worse off … and cutting Medicaid could hurt them even more than my family. I don’t want to be part of a system that contributes to that.”

The U.S. House Budget Committee votes on Friday, May 16, 2025 on a massive reconciliation package. The vote failed, 16-21. (Screenshot from House webcast)

WASHINGTON — Republicans suffered a major setback to their “big, beautiful bill” on Friday, when amid conservative objections the U.S. House Budget Committee failed to approve the measure, a crucial step in the process.

In a 16-21 vote, Reps. Andrew Clyde of Georgia, Josh Brecheen of Oklahoma, Ralph Norman of South Carolina, Chip Roy of Texas and Lloyd Smucker of Pennsylvania broke from their GOP colleagues to block the bill from moving toward the floor, demanding changes to several provisions.

The breakdown over the 1,116-page bill marks an escalation in the long-running feud between centrist Republicans, who have been cautious about hundreds of billions in spending cuts to safety net programs, and far-right members of the party, who argue the changes are not enough.

The committee is scheduled to reconvene Sunday at 10 p.m. Eastern. House Speaker Mike Johnson of Louisiana has said he wants the package on the floor prior to the Memorial Day recess.

Speedier work requirements

Norman said he remains a “hard no” until new work requirements for Medicaid recipients phase in more quickly. As the bill is written, the requirements won’t begin until 2029.

“To phase this in for four years — We’re telling a healthy-bodied, a healthy American that you got four years to get a job. No, your payment stops now,” Norman said.

Brecheen criticized the bill for not going far enough to repeal wind and solar energy tax credits, which he contends are “undermining natural gas jobs.”

“We have to fix this,” he said.

Clyde denounced the measure for not adhering to President Donald Trump’s promise of “right-sizing government,” as Clyde described it. The Georgia Republican also pleaded for lower taxes on firearms and stronger cuts that would put Medicaid on a “sustainable path.”

“Unfortunately, the current version falls short of these goals and fails to deliver the transformative change that Americans were promised,” Clyde said.

Smucker initially voted ‘yes,’ but then joined his four colleagues to oppose the measure.

Trump wrote on his social media platform shortly before the committee voted that “Republicans MUST UNITE behind, ‘THE ONE, BIG BEAUTIFUL BILL!’”

“We don’t need ‘GRANDSTANDERS’ in the Republican Party. STOP TALKING, AND GET IT DONE! It is time to fix the MESS that Biden and the Democrats gave us. Thank you for your attention to this matter!”

‘A wrecking ball to Medicaid’

Democrats, who as expected unified in voting no against the bill, slammed it as “ugly,” “cruel” and a “betrayal.”

“This bill takes a wrecking ball to Medicaid, on which 1 in 5 Americans and 3 million Ohioans depend for medical care — children, seniors in nursing homes,” said Rep. Marcy Kaptur, who represents northern Ohio. “Please come with me to visit the nursing homes. … Perhaps too many on the other side of the aisle have not had to endure a life that has major challenges.”

Rep. Ilhan Omar of Minnesota said the proposed cuts to safety net programs would be “devastating.”

“Their changes will kick millions of Americans off their health care and nutrition assistance. That means more untreated illnesses, more hungry children, more preventable deaths,” she said.

Republican-only bill

Republicans are using the complex reconciliation process to move the package through Congress with simple majority votes in each chamber, avoiding the Senate’s 60-vote legislative filibuster, which would otherwise require bipartisanship. 

Reconciliation measures must address federal revenue, spending, or the debt limit in a way not deemed “merely incidental” by the Senate parliamentarian. That means the GOP proposals must carry some sort of price tag and cannot focus simply on changing federal policy.

Republicans are using the package to extend the 2017 tax law, increase spending on border security and defense by hundreds of billions of dollars, overhaul American energy production, restructure higher education aid and cut spending.

The 11 House committees tasked with drafting pieces of the legislation have all debated and approved their measures along party lines.

The Agriculture Committee, Energy and Commerce Committee and Ways and Means Committee all completed their work earlier this week, amid strong objections from Democrats.

Proposed changes to the Supplemental Nutrition Assistance Program, or SNAP, could shift considerable cost-sharing onto states for the first time, presenting challenges for red-state lawmakers who need to explain the bill back home.

More than $600 billion in federal spending cuts to Medicaid during the next decade could also cause some difficulties for moderate Republicans, some of whose constituents are likely to be among the millions of Americans expected to lose their health insurance.

Republicans also have yet to reach an agreement on the state and local tax deduction or SALT, a priority for GOP lawmakers from blue states like California, New Jersey and New York.

The Budget Committee’s role in the process was to package together all of the bills and then send the one massive bill to the Rules Committee, the last stop before floor debate for major legislation.

That won’t be able to happen until after GOP leaders get nearly all the Republican lawmakers on the panel to support the package. 

House Minority Leader Hakeem Jeffries holds a press conference May 13, 2025, at the U.S. Capitol in Washington, D.C. (Photo by Shauneen Miranda/States Newsroom)

WASHINGTON — Democrats Tuesday criticized House Republicans for their efforts to pass “one big, beautiful” bill to extend Trump-era tax cuts that would require potential cuts to food assistance and Medicaid.

“The American people do not support this extreme and toxic bill, and we’re going to hold every single House Republican who votes for it accountable,” said House Minority Leader Hakeem Jeffries, Democrat of New York, during a press conference.

As House Republicans push forward with the last three bills of their reconciliation package in committee this week, Democrats slammed the proposed work requirements for Medicaid, extending the 2017 tax cuts enacted during President Donald Trump’s first term and overhaul of the Supplemental Nutrition Assistance Program, or SNAP, in order to pay for the megabill.

The complex reconciliation process skirts the Senate filibuster and Republicans plan to pass the bill through a simple majority, meaning input from Democrats is not needed. 

Several House Democrats, such as Rep. Steven Horsford, Democrat of Nevada, called the legislation a “scam.”

Horsford, who sits on the Ways and Means Committee, said during a separate press conference with the advocacy group Popular Democracy that extending the 2017 Trump tax cuts would “gut Medicaid.”

Medicaid is the state-federal health care program for people with low incomes and certain people with disabilities, and has 71.3 million enrollees. 

“This would be the largest cut to health care in the history of our country,” Horsford said.

Rep. Judy Chu, Democrat of California, said only the ultra wealthy, such as billionaires, would benefit from reconciliation through tax cuts.

The cost of the tax proposal has not yet been released, but government deficit watchdogs estimated a wholesale extension would cost roughly $4 trillion over the next decade.

SNAP costs shifted in part to states

The House committees on Agriculture, Energy and Commerce and Ways and Means met Tuesday to debate and pass their bills.

The Agriculture panel seeks to hit as much as $290 billion in cuts by passing part of the costs of SNAP to states through a sliding pay scale, based on error rates.

States with the lowest error rates for SNAP benefits would only pay for 5%, while other states with higher rates could pay as much for 25% of food benefits. More than 42 million people rely on SNAP, which is currently completely funded by the federal government.

The Energy and Commerce bill would cut federal spending by $880 billion, such as by instituting work requirements for Medicaid for some able-bodied adults ages between 19 and 65.

House committees have already signed off on eight of the 11 bills that will make up the sweeping reconciliation legislation before the Budget Committee rolls the bills into one package. If all Republicans get on board, the House is on track to approve the entire package before the end of May.

Warnings of rising premiums, hospital closings

Senate Democrats slammed potential cuts and changes to Medicaid.

“Not only will millions of Americans lose coverage — for many others, their premiums will skyrocket,” Senate Minority Leader Chuck Schumer said at a press conference Tuesday.

“Hospitals — rural, urban and in between — will close,” the New York Democrat said. “Many, many people will lose their jobs, and many more will lose their health coverage. States will scramble with their budgets, and American families will be left out to dry.”

Oregon Democratic U.S. Sen. Ron Wyden also blasted the proposed cuts.

“What the Republicans do in their health care provisions in the reconciliation package is walk back health security for millions and millions of Americans,” he said.

“We’re for a tax code that gives everybody in America the chance to get ahead, that’s something that we’re going to battle for in this process,” said Wyden, the top Democrat on the U.S. Senate Committee on Finance.

Senate GOP

Some Republicans have also raised concerns about cuts to Medicaid, such as Missouri Sen. Josh Hawley, who wrote in an opinion piece in the New York Times that any cuts to Medicaid would be “both morally wrong and politically suicidal.”

But Senate Majority Leader, John Thune of South Dakota, said Tuesday that he feels “very good” about where House Republicans are on their bill and “where, ultimately, we are going to be on that bill as well.”

“We are coordinating very closely with our House counterparts at the committee level, at the leadership level, and we know they have to get 218 votes,” he said.

Thune said House Republicans will “do what it takes to get it done in the House, and when it comes over here, we will be prepared for various contingencies, obviously, one of which could be taking up the House bill and then offering a Senate substitute, but we’ll see what ultimately they’re able to get done.” 

Capitol Police remove a protester in a wheelchair from the House Energy And Commerce Committee hearing room during the committee markup of part of the budget reconciliation package on May 13, 2025 in Washington, D.C. (Photo by Jemal Countess/Getty Images for Protect Our Care)

WASHINGTON — The U.S. House committee tasked with overhauling energy policy and Medicaid to achieve $880 billion in spending cuts on Tuesday began what was expected to be a long, grueling session with debate on dozens of amendments.

Republicans on the panel argued during opening statements the proposed changes are necessary to realign several programs with President Donald Trump’s campaign promises and some long-standing GOP policy goals, primarily an extension of the 2017 tax cuts.

Democrats contend the legislation, one of 11 measures that will make up the GOP’s “big, beautiful bill,” would kick millions of people out of Medicaid, the state-federal program for lower income Americans, some people with disabilities and a considerable number of nursing home patients.

Energy and Commerce Committee Chairman Brett Guthrie, R-Ky., said the GOP bill is aimed at reducing waste, fraud and abuse within Medicaid “by beginning to rein in the loopholes, by ensuring states have the flexibility to remove ineligible recipients from their rolls and removing beneficiaries who enrolled in multiple states.”

“We make no apologies for prioritizing Americans in need over illegal immigrants and those who are capable but choose not to work,” Guthrie said. “Our priority remains the same: strengthen and sustain Medicaid for those whom the program was intended to serve — expectant mothers, children, people with disabilities and the elderly.”

Democratic New Jersey Rep. Frank Pallone, ranking member on the panel, rejected comments that the GOP bill was “moderate” and said it clearly was not aimed at addressing waste, fraud and abuse.

“Medicaid is a life-saving program that 80 million Americans count on every day,” Pallone said. “It provides health care to 1 in 3 Americans and nearly half of all children in the United States. It covers close to half of all births. And it’s the largest source of funding for long-term care for seniors and people living with disabilities. With this bill, Republicans are essentially telling millions of Americans, ‘Gotcha, no more health care for you.’”

Pallone added that Republican lawmakers were “intentionally taking health care away from millions of Americans, so they can give giant tax breaks to the ultra-rich, who frankly don’t need them.”

Just before Pallone spoke, several protesters in the room, including at least three people in wheelchairs, began chanting “No cuts to Medicaid” and were led out by U.S. Capitol Police, who charged 25 people with illegally demonstrating in the Rayburn House Office Building.

Photos of constituents

Democrats gave numerous opening statements at the start of the markup, each holding up a large photograph of one of their constituents on Medicaid and sharing stories of how the program helped them get or keep access to health care after complex diagnoses, like congestive heart failure, leukemia and cerebral palsy.

Democratic lawmakers expressed concern those people would lose access to the health care program if the GOP bill becomes law.

“You don’t just gut the largest insurer of low income Americans without real harm,” said Illinois Democratic Rep. Robin Kelly. “Call it what it is — abandonment, disinvestment and pure disregard for human life.”

Florida Republican Rep. Kat Cammack rebuked some of the Democrats’ comments, which she said sought to fearmonger and lie to people about what was in the GOP bill.

“The posters that our colleagues on the left have held up are touching. The stories, they’re very emotional. And I agree that we want to protect those most vulnerable,” Cammack said. “As a pregnant woman, I want to make sure that pregnant women, expectant mothers have access to resources around the country.”

Cammack added that “not a single person in those posters is going to be impacted by this legislation.”

Floor action as soon as next week

Republicans have already approved eight of the reconciliation bills in committee and are scheduled to wrap up work on the remaining three measures this week. The Ways and Means Committee began debating the tax bill shortly after Energy and Commerce began its markup, and the Agriculture panel was scheduled to begin its debate Tuesday evening.

Later this week, the House Budget Committee plans to bundle all 11 bills together and send the full package to the floor. The entire House is set to vote on the legislation before Memorial Day.

GOP leaders cannot afford much disagreement over the entire package, given their paper-thin majority in the House. If all of the current members are present at the vote, just three Republicans can oppose the package and still have it pass.

The same margin exists in the Senate, which is expected to make substantial changes to the package should the House approve the measure and send it across the Capitol.

$880 billion cut

The Energy and Commerce Committee’s bill up for debate Tuesday met the panel’s goal of cutting at least $880 billion in federal spending during the next decade, according to a letter from the nonpartisan Congressional Budget Office.

Congress’ official scorekeepers, however, hadn’t released their full analysis of the panel’s bill before the start of the debate and amendment process, known in Congress as a markup.

Once those details are made public, lawmakers and the voters who elected them will have a much more detailed look at how each of the proposed changes will affect federal revenue, spending and the number of people who could lose access to Medicaid.

Democrats released a CBO analysis last week showing the impact of various proposals, though Energy and Commerce GOP staff cautioned Monday during a background briefing that what they proposed in the actual bill didn’t completely align with those scenarios.

The bill would make considerable changes to Medicaid if the House and Senate approve the legislation as written, which seems highly unlikely, given objections from several GOP senators, including Missouri’s Josh Hawley.

The House legislation would require able-bodied people between the ages of 19 and 65 to work, participate in community service, or attend an education program for at least 80 hours a month. There would be exceptions for pregnant people, Medicaid enrollees with dependent children and people with complex medical issues, among other exclusions.

That provision would take effect on Jan. 1, 2029, according to an explainer on the bill from nonpartisan health research organization KFF.

States would be required to check eligibility for all Medicaid patients every six months, lowering the threshold from one year for people eligible for the program under the expansion in the 2010 Affordable Care Act. That would need to begin by Oct. 1, 2027.

Republicans are seeking to get the 12 states that allow immigrants without legal status into their Medicaid programs to change course by lowering the percent the federal government pays for those states’ expansion population enrollees from 90% to 80%. That would take effect Oct. 1, 2027.

The legislation seeks to block Medicaid funding for a narrow subset of health care providers who offer abortion services, which appeared to target Planned Parenthood.

The prohibition would apply to “providers that are nonprofit organizations, that are essential community providers that are primarily engaged in family planning services or reproductive services, provide for abortions other than for Hyde Amendment exceptions, and which received $1,000,000 or more (to either the provider or the provider’s affiliates) in payments from Medicaid payments in 2024,” according to a summary of the GOP bill. It would take effect as soon as the bill becomes law and last for a decade.

The Hyde Amendment allows federal funding for abortions that are the result of rape, or incest, or that endanger the life of the pregnant patient.

Planned Parenthood, SBA Pro-Life react

Planned Parenthood Action Fund President and CEO Alexis McGill wrote in a statement that defunding the organization and overhauling Medicaid would mean that “cancers will go undetected; it will be harder than ever to get birth control; the nation’s (sexually transmitted infection) crisis will worsen; Planned Parenthood health centers will close, making it significantly harder to get abortion care; and people across the country will suffer — all so the supremely wealthy can become even richer.”

SBA Pro-Life America President Marjorie Dannenfelser applauded the potential change to federal funding.

“It’s time to stop forcing taxpayers to fund the Big Abortion industry. Thanks to Speaker (Mike) Johnson and Energy and Commerce Committee Chairman Brett Guthrie, this year’s budget reconciliation bill contains the commonsense language to make that happen,” Dannenfelser wrote. “Taxpayers should never be mandated to prop up an industry that profits from ending lives and harming women and girls.”

More than 80 organizations, including the National Women’s Law Center and the Center for Reproductive Rights, wrote in a letter to congressional leaders that cutting off Medicaid funding for Planned Parenthood “would be catastrophic, shutting down health centers and stripping millions of patients across the country of access to essential and affordable health care.”

“In many communities, Planned Parenthood health centers are the only affordable provider with expertise in sexual and reproductive health,” the organizations wrote. “For those communities, the gap left by Planned Parenthood health centers would mean that many patients would have nowhere to turn for care.”

President of the American College of Obstetricians and Gynecologists Stella Dantas wrote in a statement the GOP’s changes to Medicaid might create challenges for pregnant patients seeking to access care and that some states may roll back their expansion of postpartum coverage from a full year.

“Pregnant patients who keep their coverage under Medicaid will still face challenges accessing care as labor and delivery unit closures escalate as a result of Medicaid cuts, leaving patients to travel longer distances to give birth,” Dantas wrote. “Ob-gyns are also concerned that the cuts will threaten the 12 months of postpartum coverage that we have fought so hard to achieve, and which will leave so many without access to medical care during the year after delivery when two-thirds of maternal deaths occur.

“Backsliding on our recent progress in increasing access to postpartum coverage puts lives at risk.”

American Public Health Association Executive Director Georges Benjamin wrote in a statement that House Republicans’ planned overhaul of Medicaid “does nothing to improve public health.”

“Instead, it would undermine much of the progress we have made to expand access to affordable, quality health insurance and implement other evidence-based measures to protect the public’s health,” Benjamin wrote. “We urge the House to reject this bill and instead work in a bipartisan manner on legislation to improve public health and expand access to health care for all Americans.”

A poll released Thursday, May 1 showed 76% of Americans oppose cuts to Medicaid. (Photo via Getty Images)

WASHINGTON — A majority of Americans, including most Republicans, oppose major cuts in federal funding for Medicaid, according to a poll released Thursday by the nonpartisan health research organization KFF.

The survey shows that 76% of those questioned wouldn’t support  Congress slashing the amount of spending dedicated to the state-federal health program for lower-income Americans and some people with disabilities.

Democrats held the highest rate of opposition at 95%. A small majority of Republicans surveyed, 55%, said they don’t support substantial federal spending cuts for the program.

The breakdown was nearly even among respondents who identified as Make America Great Again supporters — President Donald Trump’s base — with 51% of that group saying they support less federal funding for Medicaid and 49% saying they oppose major cuts to the federal allocation.

The survey comes just days before House Republicans are expected to release a bill that will likely propose cutting hundreds of billions in federal funding for Medicaid.

That legislation, as well as bills from several other committees, is supposed to help Republicans offset some of the $4.5 trillion deficit impact that comes with extending the 2017 tax law.

The KFF poll also showed strong opposition to slashing federal funding to other health care programs — 74% were against cuts to states for mental health and addiction prevention services, 71% didn’t support reducing federal spending to track infectious disease outbreaks, 69% opposed limiting federal dollars for research at universities and medical centers, 65% were against cuts to HIV prevention program allocations and 65% didn’t support reducing federal funding to help people buy health insurance through the Affordable Care Act.

Polling of 1,380 U.S. adults took place from April 8 to April 15 via telephone and online. The margin of error is plus or minus 3 percentage points.

Senate GOP watching House action

Senate Republicans are closely watching how their House colleagues restructure federal funding for Medicaid, and will likely propose changes when the entire 11-bill package comes over from the House later this year.

Several GOP senators told reporters at the Capitol on Wednesday they will judge the package based on how changes to Medicaid will impact their constituents.

Missouri Sen. Josh Hawley said he’s unlikely to support any changes to Medicaid that “will result in cutting benefits or denying eligibility for people who are otherwise working.”

“I’m all for work requirements,” he said. “I don’t think you get any Republican objection to that.”

But Hawley said going beyond that might be pressing the issue too far to get his vote.

“I just met with the governor of my state this morning. He’s in town. We just sat down and we talked about this issue,” Hawley said, adding that Gov. Mike Kehoe, a Republican, was “very worried about” potential changes to federal Medicaid funding.

Maine Sen. Susan Collins said she’s planning to evaluate the House bill once it makes it through that chamber based on “the impact on low-income seniors who are dual eligible, families with children with disabilities, low-income families, our rural hospitals, healthcare providers.”

Dual eligibility refers to people who are on Medicare and Medicaid.

“I am open to carefully crafted work requirements for able-bodied adults who do not have preschool children,” Collins said. “But I have no idea what the package is going to contain at this point.”

Kansas Sen. Jerry Moran said he’s told his chamber’s Republican leadership that “Medicaid is an important issue” for him in determining whether he votes for the entire package once it’s on the floor.

“I’m going to look at overall how it impacts citizens, particularly people with disabilities, and how it impacts my state and the hospitals that provide services to people in Kansas,” Moran said.

North Dakota Sen. John Hoeven said “the challenge is going to be to find savings in line with what the president has described.”

“He said he doesn’t want any cuts to Medicaid,” Hoeven said. “But how do you make sure that you eliminate waste, fraud and abuse? And that the folks that should be getting it are getting it, rather than an able-bodied person who should be out there working and is able to do that and take care of themselves.”