In a surprising turn, President Trump has publicly opposed broad cuts to Medicaid, despite ongoing fiscal negotiations in Congress. While he focuses on tax cut extensions, the proposed bill still includes significant Medicaid reforms,

House Speaker Mike Johnson claimed adding a Medicaid work requirement to the Republican spending bill has a "moral component."

The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

Speaker of the House Mike Johnson, R-La., joined from left by House Majority Whip Tom Emmer, R-Minn., and House Majority Leader Steve Scalise, R-La. at the Capitol in Washington, April 8, 2025. The U.S. House of Representatives recently passed a tax and spending bill that proposes to usher in major changes to Medicaid. AP

Trump's omnibus bill cuts Medicaid reimbursements for states that cover people in the U.S. illegally and mandates that recipients work 80 hours a month.

It would impose work requirements for low-income adults to receive Medicaid health insurance and increase them for food assistance as well as cut funding for services like birth control to the nation’s biggest abortion provider. Supporters of the bill say the moves will save money, root out waste and encourage personal responsibility.

Presented by The Coalition to Strengthen America’s Healthcare{beacon} Health Care Health Care   The Big Story Budget bill faces Senate opposition over Medicaid Just like the

Dr. Mehmet Oz highlights Medicaid's $14 billion waste due to dual enrollment errors, urging reforms to eliminate fraud and ensure care for those in need.

Republicans in the U.S. House of Delegates advanced a mega bundle of bills designed to shave billions from the federal budget, which Democrats and advocates have said will take resources from the nation’s most vulnerable citizens and hinder social safety nets.