June 12 • 2025
WASHINGTON, D.C. – In a new letter to Senate leadership, more than 190 leading health care organizations expressed opposition to the proposed Medicaid cuts included as part of H.R. 1.
In the letter, the groups warn that “while the policies contained in this bill are presented as rooting out waste, fraud and abuse or preserving it for those the program was intended for, the reality is that cutting upwards of $700 billion from the program will do real harm to all enrollees and among all providers.”
According to the Congressional Budget Office (CBO), the reconciliation legislation would result in coverage losses for approximately 11 million people by 2034 — with more than 7.8 million of those individuals losing Medicaid coverage.
Further, independent studies estimate that the combined coverage losses could result in $1 trillion in lost revenue and $278 billion in additional uncompensated care by 2034, before taking into account the reduction in provider taxes or impacts of other eligibility policies.
The letter outlines the harmful consequences of several Medicaid provisions included in the House bill, including:
- New bureaucratic barriers on enrollment and eligibility that will unintentionally harm and impact coverage and benefits for eligible Medicaid enrollees;
- Increases in uncompensated care through misguided limits on retroactive coverage;
- Limitations on provider taxes and state-directed payments that will undermine states’ ability to fund their Medicaid programs and will negatively impact coverage and access to care;
- Work requirements that replicate previously tried, ineffective and misguided policies, leading to few changes in employment and an administrative mess for states, individuals, families and caregivers; and
- Harmful cost-sharing provisions that will make it harder for millions of low-income Americans to access the care they need and shift undue costs onto safety net providers.
The Modern Medicaid Alliance urges all Senators to reject any cuts to Medicaid and ensure continued access to health care for millions of Americans.
To view the full letter, click here.