In rural areas of Kentucky, Louisiana, and California, Republicans hold congressional seats in districts with high Medicaid enrollment rates. These areas could face significant cuts to Medicaid as part of Republicans’ budget plans, which could lead to an 11% reduction in spending over the next decade. Medicaid covers 72 million Americans, paying for nursing care, births, and more. The program has grown rapidly, especially in the last 15 years, through expansions like those under the Affordable Care Act.
While Republican lawmakers have not specified their policy changes for Medicaid, options include work requirements or scaling back funding for ACA expansions. Medicaid cuts would likely impact urban areas that tend to vote Democratic. Republican-controlled districts with high Medicaid enrollment rates include areas in California, Kentucky, Oregon, Washington, Alaska, and Louisiana.
President Trump has stated he would not cut Medicaid, but Republican legislators are considering cuts as part of budget plans. Health care is not a top issue for Trump voters, and some Medicaid enrollees who voted for him have expressed concern about potential cuts to the program. As lawmakers navigate budget decisions, the future of Medicaid in these high-enrollment districts remains uncertain.
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