Health care: Medicaid coverage
What they say
In April 2025 he and 11 other Republicans told House leaders they would not back a final bill that reduced Medicaid coverage for vulnerable people.
“we cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations”
What the record shows ·
He voted for H.R. 1 on May 22, 2025 and for the final version on July 3, 2025. The law requires states to set Medicaid work requirements for certain adults, with exemptions for groups such as people under 19, parents of children 13 and under, and people who are blind or disabled (section 71119). It also requires eligibility checks every six months for expansion adults (section 71107) and lowers the cap on state provider taxes (section 71115). For enrollees outside the expansion group, including children, older and disabled people and pregnant women, it shortens back-dated coverage from three months before applying to two (section 71112), and it pauses two rules meant to ease enrollment until 2034 (sections 71101 and 71102).
Why there is no assessment here
The letter names children, seniors, people with disabilities and pregnant women as the people Medicaid is meant to help. The law largely leaves these groups out of its work requirements, but shortens their back-dated coverage (section 71112). Whether that is a cut in coverage, and how many people lose coverage, the record does not settle.
Limit: In May 2025 his office said he blocked cuts to the provider-tax limit and the expansion match rate. The final law lowers the provider-tax limit but keeps the 90 per cent match, except for emergency care for some non-citizens (section 71110). CBO estimates the law's Medicaid changes leave 7.5 million more people uninsured in 2034, and gives no count for the groups the letter names.