Congress
CBO: 7.6 million would go uninsured under GOP Medicaid bill
The Medicaid portions of the GOP megabill would lead to 10.3 million people losing coverage under the health safety net program and 7.6 million people going uninsured, according to estimates from the nonpartisan Congressional Budget Office.
Republicans released the partial estimates Tuesday less than a half hour before the House Energy and Commerce Committee is scheduled to mark up its portion of the legislation central to enacting President Donald Trump’s agenda on taxes, the border and energy.
The panel has been tasked with finding $880 billion in savings, and the CBO confirmed the committee is on track to meet that target. CBO also projects that many of the major Medicaid policies would account for $625 billion in savings, though the scorekeeping office didn’t calculate the impacts of all provisions.
Work requirements would produce the biggest savings in the bill, accounting for nearly $301 billion over a decade — deeper than what had been initially anticipated. Overturning Biden-era rules on the program would save nearly $163 billion, and a moratorium on new taxes that states levy on providers to help finance their programs would recoup roughly $87 billion.
Republicans have argued that the changes will streamline Medicaid and allow it to better focus on serving the most vulnerable beneficiaries.
Democrats have argued the changes will lead to devastating impacts on health care access and have made the case — including by pointing to previous CBO estimates — that work requirements would simply remove people from coverage rather than motivate beneficiaries to find jobs.
“Republicans are trying to say this is kind of a moderate bill,” Energy and Commerce ranking member Frank Pallone told reporters Monday. “Nothing could be further from the truth.”
Congress
GOP, Democrats blast Vought for holding back cash: ‘You don’t have the authority to impound’
Senators from both parties chided the Trump administration Thursday for continuing to withhold funding Congress has approved, more than a year after the White House first froze billions of dollars for temporary “review.”
During White House budget director Russ Vought’s testimony before the Senate Budget Committee, Sen. Chuck Grassley (R-Iowa) scolded the OMB chief for not sending hundreds of millions of dollars the Trump administration is supposed to give states throughout the year to support community services aimed at reducing poverty.
“Congress has appropriated money, and you don’t have the authority to impound it,” Grassley said about the more than $810 million Congress appropriated this year for the Community Services Block Grant program.
That program helps states fund anti-poverty services such as transportation, education and nutrition assistance that serve more than 9 million people each year.
Grassley told Vought that lawmakers “are not getting any answers” as to why the Trump administration hasn’t sent states their quarterly funding from the program. “I want those quarterly allotments released,” Grassley said.
While Vought did not directly address Grassley’s comments, he said at a different point during the hearing that “we have not impounded a single thing.”
Other senators, including Sen. Mark Warner (D-Va.), lamented federal dollars being withheld for the fund that provides capital to small banks and credit unions in underserved areas. For months lawmakers from both parties have pushed back against Trump’s plans to eliminate that program, the Treasury Department’s Community Development Financial Institutions Fund.
Congress
FISA extension vote delayed
House GOP leaders are pushing back the planned 3:15 p.m. procedural vote related to the bill extending a key spy power due to expire in four days.
Leaders are continuing to negotiate with hard-liners to come up with a deal that can pass the chamber.
No new time has been set for the rule vote.
Congress
Senate Republicans ‘syncing’ immigration funding plan with House GOP
Senate Majority Leader John Thune said Thursday that GOP leaders want to make sure Republicans in both chambers are aligned as they move ahead with a party-line plan for immigration enforcement funding.
The South Dakota Republican told reporters he hopes the Senate will adopt a budget framework “by middle-to-the-end of next week,” the first step to unlocking the filibuster-skirting power to clear a package of up to $75 billion for ICE and Border Patrol.
Then ideally the House would adopt the Senate budget measure without changes, Thune said, allowing Republicans to move on to passage votes on a final bill to fund the immigration enforcement agencies.
“We’re communicating as much as we can, making sure that we’re syncing this up and doing it in the way that meets the requirements that both bodies have,” Thune said Thursday, following a meeting Wednesday with Speaker Mike Johnson for a routine check-in.
The attempt at GOP unity comes after House Republicans hotly rejected the Senate’s proposal last month to fund most of the Department of Homeland Security, where funding lapsed more than two months ago. Now several House GOP lawmakers are also insisting Republicans fund all of the department through the party-line budget reconciliation process — not just the immigration agencies Democrats won’t support without new rules on the Trump administration’s immigration enforcement tactics.
Senate Budget Chair Lindsey Graham (R-S.C.) told reporters Thursday afternoon that he hopes to release text of the budget framework in short order.
“We’re working on all that. Hopefully we’ll find consensus here soon. But I think we’re getting close,” he said.
“I hope we can get moving on it as early as next week,” Graham added.
Senate Republicans have started talking to their chamber’s parliamentarian as they seek to enact the party-line package — one piece of their two-part plan to end the DHS shutdown that began in mid-February.
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