The Dictatorship
The GOP’s biggest falsehoods about Medicaid in Trump’s spending bill, debunked

It’s undeniable: The House Republican reconciliation bill would take health coverage away from millions of people to partially pay for trillions in tax cuts, which are skewed to wealthy people and corporations. But the legislation’s backers would rather dismiss these uncomfortable facts and the people harmed by the bill they support.
“No one will lose coverage a result” of this bill, Office of Management and Budget Director Russ Vought recently said. “People will not lose their Medicaid unless they choose to do so,” House Speaker Mike Johnson claimed.
These comments ignore the unprecedented harm the House legislation would inflict. Republicans’ proposed cuts — and their decision to let tax credits for the Affordable Care Act marketplaces expire — would cause an estimated 16 million people to become uninsured by 2034.
Taking away people’s coverage doesn’t make them healthier or help them find a job.
Many of the House bill’s cuts target people enrolled through the ACA’s Medicaid expansion for low-income adults, which most states adopted and without which many of these adults would lack any pathway to coverage. Johnson’s contention that only Americans who “choose” to will lose coverage refers to the bill’s so-called work requirements. But there’s little choice — for individuals or states — under those harsh provisions, which take coverage away from certain low-income adults when they can’t prove in a red-tape-laden process that they are working or should be exempt.
In fact, more than 90% of adults on Medicaid either work full time or part time or meet exemptions like disability, education or caregiving. Most of the remainder are retired or unable to find work. Under the GOP bill, the Congressional Budget Office estimates 5.2 million adults would lose Medicaid because of the work requirement, and other analysts, including my colleagues at the Center on Budget and Policy Priorities, think the number could be higher.
Also, under this bill, people would have to be employed to get Medicaid coverage in the first place. This harms people who lose employer coverage after a layoff, or who get sick and need care to get better and find work.
Taking away people’s coverage doesn’t make them healthier or help them find a job. The work requirements’ main function is to reduce federal investment in health care by leaving more people uninsured; it is the single biggest Medicaid cut in the House bill.
The bill wouldn’t just hurt people with Medicaid, but those with plans through the Affordable Care Act marketplaces. During Joe Biden’s presidency, Democrats in Congress passed enhanced subsidies that have greatly lowered the costs of plans on the ACA’s marketplaces. But those tax credits expire at the end of the year, and Republicans in Congress also haven’t extended them. That will mean premiums will spike and, the Congressional Budget Office estimates, 4.2 million people will become uninsured.
The GOP bill goes out of its way to make it harder for all Medicaid and marketplace plan enrollees to get and keep coverage.
Worse, millions who manage to stay covered will still face higher health care costs, even as families are already struggling with rising costs for food, rent and other household expenses. The ACA marketplaces, meanwhile, are a critical source of coverage for people who lack employer coverage, such as gig workers, low-paid workers and older people not yet eligible for Medicare.
In total, by letting the ACA marketplace subsidies expire, the House bill would cause health coverage costs to skyrocket for about 22 million people, including 3 million small-business owners and self-employed workers. A typical family of four with income of $65,000 would pay $2,400 more per year to keep their marketplace coverage.
The GOP bill goes out of its way to make it harder for all Medicaid and marketplace plan enrollees to get and keep coverage. Republicans would impose a set of overlapping, punitive policies designed to trip up people, such as more frequent eligibility checks for some and shorter enrollment periods.
And speaking of punitive policies, the House bill blocks access to coverage for millions of people who are immigrants. It strips many people lawfully present in the U.S. of their ability to buy affordable ACA marketplace plans and of their access to Medicare benefits. It even penalizes states that provide comprehensive health coverage under Medicaid to certain immigrants with their own funds.
Republicans claim the cuts target people without documented immigration status, but those people already do not qualify for Medicaid, Medicare or financial help under the ACA. The cuts would hurt immigrants who lawfully live and work in the U.S., including refugees, people granted asylum, and victims of domestic violence and labor or sex trafficking.
Losing coverage means losing access to lifesaving treatments for costly illnesses like cancer and chronic diseases like diabetes. People with disabilities, older adults, children and the many people in low-paid jobs that lack health benefits will delay or avoid needed care, and more people will contend with bankruptcy and medical debt.
Finally, the House bill doesn’t just threaten access to care for all Medicaid enrolleesbut for entire communities as well. Provider payments would likely drop in all states, which would struggle to keep local providers whole as they grapple with increases in uncompensated care. To take one example, Medicaid covers nearly half of all births in rural hospitals. These hospitals are already more likely to experience negative operating margins and can ill afford massive Medicaid cuts. Rural hospital closures will risk people’s lives as labor and delivery services, emergency services, or other lifesaving measures become out of reach.
No matter what GOP lawmakers and officials like Johnson and Vought say, you can’t strip hundreds of billions of dollars out of Medicaid and the ACA and claim with a straight face that no one will lose coverage. And whether people have access to health care or not, their health care needs won’t go away. Thankfully, the House bill isn’t law yet. The Senate still has time to reject provisions that leave millions of people uninsured, raise costs for millions more, and upend the major programs that provide low-income people with lifesaving health care around the country.
Sarah Lueck
Sarah Lueck is the vice president for health policy at the Center for Budget and Policy Priorities.
The Dictatorship
Trump’s DOJ issues memo on plan to strip citizenship from some naturalized Americans

As the White House press secretary openly floats the idea of investigating New York City mayoral candidate Zohran Mamdani to possibly strip him of his citizenshipafter a bigoted proposal from Rep. Andy Ogles, R-Tenn., the administration appears to be revving up its denaturalization plans.
NPR reported Monday on a Justice Department memo from June 11which advises prosecutors in the DOJ’s Civil Division to prioritize the denaturalization of various naturalized citizens over alleged infractions ranging from war crimes to “material misrepresentations” in their citizenship applications.
In his first term, Trump expanded former President Barack Obama’s denaturalization policies. An expert told NPR why the new memo’s call to use civil litigation for this effort is particularly disturbing:
The DOJ memo says that the federal government will pursue denaturalization cases via civil litigation — an especially concerning move, said Cassandra Robertson, a law professor at Case Western Reserve University. In civil proceedings, any individual subject to denaturalization is not entitled to an attorney, Robertson said; there is also a lower burden of proof for the government to reach, and it is far easier and faster to reach a conclusion in these cases. Robertson says that stripping Americans of citizenship through civil litigation violates due process and infringes on the rights guaranteed by the 14th Amendment.
On the heels of Friday’s Supreme Court ruling in the birthright citizenship case — which undercut lower courts’ ability to stop the executive branch from pursuing policies of disputed legality — it’s safe to wonder whether and how the administration might wield its powers to target more Americans.
The DOJ memo asserts a broad latitude for interpretation as to what conduct might warrant denaturalization proceedings against a citizen. It lays out a list of transgressions, including torture and human trafficking, but also calls on the DOJ’s Civil Division to target “an individual that either ‘illegally procured’ naturalization or procured naturalization by ‘concealment of a material fact or by willful misrepresentation’” and, rather vaguely, “individuals who pose a potential danger to national security.” The memo also prioritizes the ominously open-ended “any other cases … that the Division determines to be sufficiently important to pursue.”
Given that Trump has labeled critics as the “enemy within,” has falsely framed peaceful demonstrators as accomplices to terrorism and has declared his ambition to deport American citizens to foreign prisonsthe potential for abuse here seems incredibly high.
The Dictatorship
Trump’s ‘big, beautiful bill’ faces fierce religious backlash

Donald Trump and the Republican Party are facing furious backlash from faith leaders and parishioners concerned about the devastating impact that their sought-after budget cuts are projected to have on many Americans.
Trump, who has attempted to portray himself as anointed by God, is pushing for a highly unpopular bill that includes steep cuts to nutrition assistance and health care programsalong with tax cuts that would largely benefit the rich. And many literally ordained faith leaders are denouncing his goals.
In a letter to U.S. senators last week, an interfaith coalition of religious leaders from across the country slammed how the bill could potentially strip health care and food benefits from millions of Americans, and for pursuing a mass deportation campaign that could ensnare some of their parishioners — a concern shared by MAGA-friendly leaders of the Southern Baptist Convention, as well.
“In our view, this legislation will harm the poor and vulnerable in our nation, to the detriment of the common good,” the coalition wrote. “Its passage would be a moral failure for American society as a whole.”
The U.S. Conference of Catholic Bishops sent a letter to senators on the same day, praising the bill for seeking to crack down on abortion but denouncing other parts of the legislation:
We are grateful for provisions that promote the dignity of human life and support parental choice in education. These are commendable provisions that have long been sought by the Church. However, we must also urge you to make drastic changes to the provisions that will harm the poor and vulnerable. This bill raises taxes on the working poor while simultaneously giving large tax cuts to the wealthiest. Because of this, millions of poor families will not be able to afford life-saving healthcare and will struggle to buy food for their children. Some rural hospitals will likely close. Cuts will also result in harming our environment.
The bishops also denounced the “enforcement-only approach” to immigration in the Senate version of the bill, calling it “unjust and fiscally unsustainable.”
Meanwhile, Sen. Raphael Warnock, D-Ga., who is a Baptist pastor, helped illustrate the growing religious backlash against the legislation when he brought a contingent of faith leaders with him to pray in the Capitol rotunda on Sunday.
The rotunda has been a site for faith-based resistance to the GOP’s budget for weeks now. In April, the Rev. William Barber II was arrested there alongside fellow faith leaders Jonathan Wilson-Hartgrove and Steven Swayne as they held a prayer in opposition to the legislation. (The arrests resulted in tickets.) Five other faith leaders were arrested there the following week for doing the same thing.
At times, I think it may be easy for some to give in to MAGA’s messianic propaganda that frames Trump — flawed as he is personally — as some sort of spokesperson for religious Americans. But there’s a deep and enduring tradition of faith leaders standing up for liberalism and basic dignity in this country. And Trump’s policies — perhaps, none more than his self-described “big, beautiful bill” — are bringing that tradition to the fore.
The Dictatorship
Ask Jordan: Could class-action lawsuits save birthright citizenship?

“Please explain why it appears that Justice Barrett’s opinion permits plaintiffs to resubmit their cases as a class action that would protect birthright citizenship nationwide.” — Emily
Hi Emily,
Yes — the court’s opinion in the birthright citizenship casewhich curbed the use of nationwide injunctions, left open the possibility of using class actions. In fact, plaintiff lawyers have already filed for such actions on Friday, the same day that the Supreme Court’s ruling came out.
“The Supreme Court has now instructed that, in such circumstances, class-wide relief may be appropriate,” plaintiff lawyers wrote to one of the trial judges who had previously issued a nationwide injunction.
They cited Justice Brett Kavanaugh’s concurring opinion that said trial courts can “grant or deny the functional equivalent of a universal injunction — for example, by granting or denying a preliminary injunction to a putative nationwide class.” They also cited Justice Sonia Sotomayor’s dissent, where she wrote that parents of children targeted by President Donald Trump’s order “would be well advised to file promptly class-action suits and to request temporary injunctive relief for the putative class pending class certification.”
So, just change the name of the lawsuit and it’s all good, right?
Not so fast. At least, not necessarily.
Indeed, Justice Samuel Alito wrote a concurrence to Justice Amy Coney Barrett’s majority opinion that pre-emptively raised skepticism about the success of class actions here. Joined by Justice Clarence Thomas, Alito worried that “today’s decision will have very little value if district courts award relief to broadly defined classes without following ‘Rule 23’s procedural protections’ for class certification.” (There are federal procedural rules for litigation and Rule 23 deals with class actions.)
Alito further warned that “lax enforcement” of the rules “would create a potentially significant loophole to today’s decision.” He urged federal courts to “be vigilant against such potential abuses of these tools.”
To be sure, that’s not a majority opinion from Alito, even if he tried to implicitly ascribe his views to the majority at the end there. But in practical terms, his concurrence reflects that there are at least two justices prepared to view class-action relief with skepticism. We may not learn what the full majority thinks unless and until the case goes back to them.
But hopefully the court will get to the heart of the matter sooner rather than later and declare what lower-court judges have had an easy time finding: Trump’s attempt to restrict birthright citizenship is unconstitutional.
Recall that the administration took pains to focus on the procedural aspect of the litigation, not seeking a ruling on the merits from a high court that’s been sympathetic to the administration in other cases. That strategic litigation choice appeared to be an admission that the administration thinks it would lose on the merits, if and when the justices reach them.
That made this case all the poorer a choice for the majority to have used to reach a formally unrelated decision about the validity of universal injunctions. The court could’ve taken on the injunction issue in any other number of cases.
Nonetheless, the next step in the birthright citizenship litigation may have to be another round of procedural games — this time on class actions — all while the underlying illegal order remains unremarked upon by the majority.
Jordan Rubin is the Deadline: Legal Blog writer. He was a prosecutor for the New York County District Attorney’s Office in Manhattan and is the author of “Bizarro,” a book about the secret war on synthetic drugs. Before he joined BLN, he was a legal reporter for Bloomberg Law.
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