Donald TrumpThe director of the Management and Budget Office, Russ Vought, has allegedly allegedly alleged that “no one will lose the coverage (Medicaid) accordingly” of the budget proposed by the Chamber. House speaker Mike Johnson Likewise, he said that “people will not lose their Medicaid unless they choose it.”
“There are no Medicaid cups in the big and beautiful bill,” said Johnson on NBC Meet the press. “We are not coupling Medicaid.”
“This bill will preserve and protect the programs, the social security net, but it will make it much more common sense,” said Vought on CNN State of the Union. “Look, one in five or six dollars on Medicaid is inappropriate. We have illegal immigrants in the program. We have valid adults who have no work requirements they would have in Tanf or even in breakage. And this is something that is very important to institute. This is what this bill does.
There is a lot to unpack here. Vought, who was a major architect of 2025 projectsaid that between a fifth and sixth of Medicaid spending is “incorrect”. According to the centers for Medicare and Medicaid, in 2024, however, only 7.66% of the payments were envisaged “incorrect.” But “inappropriate” covers many payments, including sub-paids, overpayments and payments where there is not enough information to determine if a payment was appropriate. In other words, inappropriate is not a synonym of fraudulent.
Vought also said that undocumented immigrants were on Medicaid. With the exception of emergency room services in certain situations, Federal Medicaid Fund cannot be used To cover undocumented immigrants. Some states, however, have chosen to use their own funds to provide health coverage to undocumented immigrants, including children.
Finally, Vought and Johnson said that the bill would not lose the coverage of people.
Several experts and organizations exhibit this for the lie it is.
According to The Congressional Budget Office (CBO), if the republican budget adopts, this would reduce federal Medicaid expenses of $ 723 billion, and 7.6 million people would lose coverage of Medicaid by 2034, largely thanks to the new work requirements for 18 to 64 years. Other modifications made to the program, such as stricter and more frequent eligibility checks, will also likely lead to loss of coverage.
Citing two states which have implemented similar work requirements on the beneficiaries of Medicaid to those proposed in the GOP bill, Jennifer Tolbert, deputy director of the program on Medicaid and uninsured and director of state policy and health data at the Kaiser Family Foundation, said On PBS, “These new rules take obstacles to people who register for coverage and cause loss of coverage.
The center of the left for budgetary and political priorities, which estimated this until 14.4 million people could lose the coverage in the next 10 years, said“The research shows – and the CBO previously concluded – that the work requirements do not increase the job. Instead, they lead registrants that lose coverage to take more medical debts, delay the necessary medical care and delay taking medication.”
The loss of coverage can lead to serious consequences. Have a cover saved from lives. A study By the National Bureau of Economic Research, revealed that Medicaid expansions increased inscriptions by 12% and reduced mortality in low -income adults by 2.5%, and new Medicaid registrants were 21% less likely to die compared to coverage.
