Congress

Hard-liners’ Medicaid letter has ties to GOP think tank

Published

1 year ago

May 2, 2025

A letter signed by 20 hard-line House Republicans calling for deep cuts to Medicaid in the GOP’s domestic policy megabill appears to be written at least in part by a conservative think tank with ties to top Republican leaders.

Rep. Chip Roy of Texas led the letter and promoted it publicly but digital metadata embedded in a PDF copy circulated inside the House and obtained by Blue Light News lists the author as Brian Blase, president of Paragon Health Institute.

Blase served on the White House National Economic Council during President Donald Trump’s first term. He and other conservative health wonks launched Paragon in 2021, and it has rapidly gained influence in GOP policy circles. Former Paragon staffers are now top health aides to Speaker Mike Johnson and President Donald Trump.

According to tax records gathered by InfluenceWatch, Paragon has received seven-figure donations from groups linked to high-profile conservative activists Charles Koch and Leonard Leo.

The push from Roy and his fellow hard-liners to enact massive “structural” reforms across Medicaid comes as centrists and even some more conservative-leaning members have raised concerns about cutting too deeply into the program. Trump is also wary of slashing the program but has signaled he supports some efforts to curb spending.

The letter urges House Republicans to pursue “meaningful” reforms to the safety-net health program: “If the House budget reconciliation package does not include structural Medicaid reform that achieves desired Republican outcomes, we will be setting up massive tax increases and benefit cuts in the future,” Roy & Co. wrote. “For once, Congress should stop procrastinating, using excuses, and finally fulfill the Republican agenda.”

Asked if Blase was in fact the document’s author, Paragon spokesperson Anthony Wojtkowiak said in a statement that the group “sent a list of Medicaid reform principles to policymakers.”

“It appears that the excellent letter by Chip Roy and colleagues incorporated some of our ideas,” Wojtkowiak said, noting the group frequently works with lawmakers on policy issues.

A Roy spokesperson did not respond to a request for comment.

Congress

Capitol agenda: Senators find their exit strategy

Published

1 hour ago

August 7, 2026

Blue Light Newsroom

The Senate’s plan to get out of town is coming together.

Majority Leader John Thune teed up a final vote on the Russia sanctions legislation for this morning, as well as a confirmation vote for dozens of nominees and a procedural step on a stopgap funding bill.

But there’s still a number of questions that need to be answered if Thune wants to adjourn for recess by the end of the day:

— BLANCHE’S FATE: President Donald Trump’s pick for attorney general needs to secure at least one more vote to be confirmed before the break.

It looks like it’s all up to Sen. Bill Cassidy after Sen. Lisa Murkowski announced Friday morning she is opposed. Thune indicated Thursday night Blanche’s fate was uncertain and that leaders were “still working to get the final vote.”

— SAVE AMERICA ACT: Thune said to expect a vote related to the SAVE America Act as well as an initial vote on a budget blueprint for a third party-line spending bill — which includes elements of Trump’s election security legislation.

The decision to hold the budget vote comes after two Republican senators, granted anonymity to speak candidly, told Blue Light News Thursday they believed Sen. Mike Lee or another member of the GOP’s right flank would have otherwise forced a vote on the framework.

But as we’ve previously reported, Republicans don’t believe the budget resolution has the votes within the conference to be adopted — meaning the expected initial vote today will fail to clear a simple majority threshold.

And it’s not clear Lee or like-minded senators will be satisfied and allow for lawmakers to adjourn for recess without more action on the elections measure. The senator has made similar threats over the past year but has never followed through.

— TIME AGREEMENT: GOP leaders need to strike an agreement to finish other business, including passing the stopgap government funding bill and advancing a college sports bill.

At this point, any single senator could still object to expediting the chamber’s agenda, which would derail Thune’s goal of getting members out of town by the end of the day.

“We’ve been having these conversations with Democrats trying to figure out what’s the path,” Thune said.

“We’ll see how it goes,” he added.

What else we’re watching:

— GOP EXPECTS CRYPTO BILL DELAY: The Senate will leave for the chamber’s August recess without holding a vote on a landmark cryptocurrency bill, according to three people with knowledge of the matter. Thune may still file cloture on the bill, but it likely won’t come to the floor until lawmakers return to Washington next month, two of the people said.

— COLLEGE SPORTS BILL STUMBLES: Sens. Ted Cruz and Maria Cantwell’s legislation to impose new guardrails on college sports is looking increasingly unlikely to hit the floor this week. Eleven senators objected to expedited consideration of the Protect College Sports Act after Thune filed cloture earlier this week, two people familiar with discussions told Blue Light News.

— OGLES OUSTED: GOP House leaders lost an incumbent — and a perennial headache — with Rep. Andy Ogles’ primary defeat in Tennessee Thursday night. His loss to former Tennessee Agriculture Commissioner Charlie Hatcher represents the second Trump-endorsed candidate to lose a primary this week.

Jordain Carney, Mia McCarthy, Andrew Howard and Jacob Wendler contributed to this report.

Congress

Lisa Murkowski says she will oppose Blanche, endangering his confirmation

Published

3 hours ago

August 7, 2026

Blue Light Newsroom

Todd Blanche’s attorney general nomination is on the brink after Sen. Lisa Murkowski announced Friday that she would oppose confirming him.

The Alaska Republican said in a statement that she did not believe Blanche, who has been serving as acting attorney general since April, would act to rein in President Donald Trump and reverse the “politicization—even weaponization” of the Justice Department that has “accelerated” under Trump.

“The country needs an Attorney General who will check the worst impulses of this administration,” she said. “I hope Mr. Blanche is able to achieve that, if confirmed, but I simply do not have confidence that will be the case.”

Blanche’s fate is now thought to come down to Sen. Bill Cassidy of Louisiana, who has been increasingly critical of the president since losing his renomination campaign to a Trump-backed Republican earlier this year.

Cassidy met with Blanche alongside Murkowski Wednesday afternoon but hasn’t yet said how he will vote. Blanche has to win his support in order to be confirmed, given unified opposition from Democrats and opposition from Murkowski and Sen. Susan Collins (R-Maine).

The extended absence of Sen. Mitch McConnell of Kentucky for health reasons has also left Republicans short of a vote.

Murkowski cited Blanche’s handling of the Jeffrey Epstein files and the settlement agreement reached between Trump and the IRS under his watch as well as DOJ’s “repeated targeting” of Trump’s political enemies.

Senate Republicans rejecting Blanche would be a significant blow to Trump, who has pressured GOP senators to support Blanche over the past week as his nomination has been in limbo. And it would come as he’s already fuming at the conference, and Senate Majority Leader John Thune, over their inability to end the legislative filibuster and pass the elections bill known as the SAVE America Act.

Congress

Thune sets up votes on sanctions and nominees as final summer sprint takes shape

Published

10 hours ago

August 7, 2026

Blue Light Newsroom

The Senate is aiming to leave town Friday for a five-week recess. They’ve got to finish a mountain of work first.

Senate Majority Leader John Thune said Thursday night the chamber is hoping to pass a stopgap funding bill as well a long-stalled Russia sanctions bill Friday. They are also set to confirm dozens of nominees and — Republicans hope —Todd Blanche as attorney general if he can win the support of Sens. Lisa Murkowski or Bill Cassidy.

Thune indicated Blanche’s fate was still uncertain and that leaders were “still working to get the final vote.”

Republicans will also hold an initial vote on a budget blueprint for a third party-line spending bill, Thune said, as well as a vote related to the SAVE America Act.

“I would expect that would be in whatever the final tranche of votes [is],” Thune said about an initial vote on the budget resolution.

Senate Republicans, as Blue Light News previously reported, don’t believe the budget resolution has the votes within the conference to be adopted. Instead, the Senate is expected to hold an initial vote that will fail to clear a simple majority threshold.

The decision to hold that vote comes after two Republican senators, granted anonymity to speak candidly, said Thursday that they believed Sen. Mike Lee of Utah or another member of the GOP’s right flank would force a vote regardless on the framework, which they are able to do under the chamber’s rules.

Any single senator could still object to expediting the chamber’s agenda, which would derail Thune’s goal of getting members out of town by the end of the day Friday.

The majority leader teed up a final vote on the Russia sanctions legislation for Friday morning, a confirmation vote for dozens of nominees and another procedural step on a stopgap funding bill.

Leadership is hoping they’ll get a deal later in the day to finish other business, including passing the CR, advancing a college sports bill, confirming Blanche and voting on the budget resolution.

“We’ve been having these conversations with Democrats trying to figure out what’s the path – so we’ve tried to set up a series of votes to deal with all the unfinished business with one exception, so anyways we’ll see how it goes,” Thune said.