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'Death Warrant': New Fears Emerge as GOP Medicaid Cuts Come Closer to Reality
"If we make one wrong decision as the parents of a critically ill child, that could be the end of it," said one Louisiana mother about the added paperwork burdens being imposed by the GOP's budget law.
Sep 02, 2025
Several reports published on Tuesday highlighted the negative impacts that are expected from Medicaid cuts included in the Republicans' budget law.
The Medicaid cuts, which passed this past summer as part of the so-called One Big Beautiful Bill Act, are estimated to total $1 trillion over the next decade and are projected to kick more than 10 million Americans off their health insurance. However, the cuts are also expected to have several other knock-on effects that could negatively impact the entire American healthcare system.
Rhian Lubin, a reporter for The Independent, recently traveled to Louisiana, where she met a 28-year-old mother named Hannah McDaniel who relies on Medicaid to pay for treatment for her two-year-old son, Myles, who suffers from an incurable heart defect.
As McDaniel explained to Lubin, she is already inundated with paperwork required to keep Medicaid paying for Myles' lifesaving care, and she fears that the new work requirements added by Republicans will only add to the burden and increase the risk that her son's care will be cut off.
"If we make one wrong decision as the parents of a critically ill child, that could be the end of it," said McDaniel, who added that when the GOP passed its budget package it felt like "the government had signed Myles' death warrant."
Lubin wrote that these cuts will make it especially hard for patients who live in rural communities, where local hospitals have for years been under financial strain and are in greater danger of closing thanks to the GOP's budget.
"Any cuts to that program are going to trickle down and impact children, whether that's pediatric practices who depend on Medicaid to be able to stay open or children’s hospitals," West Virginia pediatrician Lisa Costello told Lubin.
The impact of these cuts is projected to be felt nationwide, as The Idaho Statesman reported that nursing homes and hospice care facilities in the Gem State are also bracing for a catastrophic loss of funding.
The report highlighted Table Rock Senior Living at Park Place, an assisted living facility in the city of Nampa, which will see a cut in its reimbursement rates paid out by Idaho's Department of Health and Welfare in response to the GOP's Medicaid cuts. Gary Connell, who runs Table Rock Senior Living, told The Idaho Statesman that such cuts are "going to cause a lot of havoc" at both his facility and senior residences across the state.
Expected cuts to Medicaid reimbursement rates in the state are likely to force more facilities to decline Medicaid recipients as patients, which would in turn place higher burdens on emergency rooms.
"We're going to see serious access issues now, and then, what’s going to happen? They're going to go to the hospital emergency room," Democratic Idaho state Sen. Melissa Wintrow told The Idaho Statesman. "We can't refuse people at the hospital emergency room, and that's a higher cost of care, which means the legislature is going to take it on the chin in the end."
Over in North Carolina, local public radio station WHQR reported that dentists in the state are similarly fearful of lower reimbursement rates that would force them to cut off Medicaid recipients from care.
Before the GOP passed its budget law, North Carolina lawmakers were actually considering a bill that would have boosted the reimbursement rate from 35% to 46%. But with less money projected to come in from the federal government over the next decade, they abandoned the effort.
Dr. Robert Stowe, a dentist based in Winston-Salem, said that the North Carolina state legislature's current plan to slash reimbursement rates by an additional 3% this year would likely be a tipping point for many healthcare providers.
"You got a system that the reimbursement is so low now that you have providers who are seeing Medicaid dental patients that they're taking a loss on already," he explained to WHQR. "Then you're going to cut that fee by 3%—it's just untenable."
Finally, Ohio Capital Journal reported that the Medicaid cuts could come at great expense for many low-income Ohio military veterans who rely on the program.
According to the report, roughly 10% of US veterans use Medicaid for services for which they aren't eligible to receive through the US Department of Veterans Affairs, including some mental health treatment.
Dr. Forrest Faison, the former surgeon general of the United States Navy, told Ohio Capital Journal that many veterans who depend on Medicaid "because of job issues, disability, PTSD" may fall through the cracks due to the Medicaid cuts. He also emphasized that the cuts could fall particularly hard on Medicaid recipients in rural Ohio.
"A lot of these veterans, especially in Ohio, live in rural areas," he said, "where even if you've got some benefits, you may not have the services available."
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Dem Lawmakers Introduce 'Contraception Begins at Erection' Bills in Multiple States
"If you think it's absurd to regulate men, then you should think it's equally absurd to regulate women," said the author of an Ohio bill, who is also an OB-GYN.
Feb 11, 2025
Faced with relentless Republican attacks on reproductive freedom including efforts to give embryos and fetuses legal rights from the moment of conception, Democratic lawmakers in two states have recently introduced legislation that would ban men from ejaculating for purposes other than making babies, with some exceptions.
Last month, Mississippi state Sen. Bradford Blackmon (D-21) introduced S.B. 2319, the Contraception Begins at Erection Act, which would "make it unlawful for a person to discharge genetic material (sperm) without the intent to fertilize an embryo, effectively criminalizing certain male reproductive behaviors," according to an official artificial intelligence summary of the proposal. The bill—which died in committee last week—contains exceptions for "genetic material donated or sold to a facility for future embryo fertilization, and genetic material discharged using a contraceptive method intended to prevent fertilization."
"If you're going to penalize someone for an unwanted pregnancy, why not penalize the person who is also responsible for the pregnancy?"
"All across the country, especially here in Mississippi, the vast majority of bills relating to contraception and/or abortion focus on the woman's role when men are 50% of the equation," Blackmon explained, according to NBC News. "This bill highlights that fact and brings the man's role into the conversation. People can get up in arms and call it absurd but I can't say that bothers me."
Meanwhile in Ohio, state Reps. Dr. Anita Somani (D-11) and Tristan Rader (D-13) have introduced their own Contraception Begins at Erection Act, which would fine violators $10,000 per unauthorized discharge, with exceptions for when contraception is used during sex, or in cases of masturbation, and sex between members of the LGBTQ+ community.
"If you're going to penalize someone for an unwanted pregnancy, why not penalize the person who is also responsible for the pregnancy?" Somani, who is also a licensed OB-GYN, asked in an Ohio Capital Journal article published Sunday. "You don't get pregnant on your own."
Every Sperm is sacred! #equalrights #reproductiverights
[image or embed]
— Anita Somani District 8 OH ( @anitamd.bsky.social) February 4, 2025 at 5:19 PM
Responding to Republicans who have called her bill "absurd," Somani said, "If you think it's absurd to regulate men, then you should think it's equally absurd to regulate women."
While observers have questioned the seriousness of these bills—and with Somani and others giving nods to a famous number in Monty Python's 1983 black comedy The Meaning of Life—they come at a nadir for reproductive freedom in the United States.
Since the right-wing U.S. Supreme Court canceled half a century of federal abortion rights in the 2022 Dobbs v. Jackson Women's Health Organization ruling, a dozen states including Mississippi have also passed near-total abortion bans, while numerous other states have enacted restrictions on the procedure.
Eight states have also enacted or proposed restrictions on access to contraception, according to the Guttmacher Institute. Last year, Senate Republicans blocked consideration of the Right to Contraception Act. Republican President Donald Trump has signaled support for federal restrictions on contraception, and far-right U.S. Supreme Court Justice Clarence Thomas has suggested that the tribunal "should reconsider" past rulings upholding the right to birth control.
In Ohio, voters decisively enshrined abortion rights in the state constitution via a 2023 ballot measure. Nevertheless, anti-abortion activists haven't given up—Republican activist Austin Beigel told the Capital Journal that GOP lawmakers are preparing to introduce legislation for a total abortion ban in the coming weeks.
"It just says human life begins at conception," he explained. "Therefore, all the protections that are offered to other people under the state law are also offered to the pre-born."
This isn't the first time that semi-satirical legislation has been introduced to highlight the hypocrisy of banning women from controlling their bodies. In 2019, a Democratic state lawmaker in Georgia introduced a "Testicular Bill of Rights" that would, among other things, have required men to get permission from their sexual partners before obtaining erectile dysfunction medication and enacted a 24-hour "waiting period" for men who want to buy porn or sex toys.
Correction: This article orginially said the "Every Sperm Is Sacred" song is from Monty Python's 1979 dark comedy The Life Of Brian. It is, in fact, from the 1983 Monty Python film The Meaning of Life. The author—who still considers The Holy Grail the finest comedy ever made—apologizes for the error.
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Ohio Governor Signs 'Harmful' Anti-Trans Bathroom Bill
"It's really not about the bathrooms. It's about demonizing and frightening people," said one Ohio lawmaker.
Nov 27, 2024
Pro-LGBTQ+ voices panned an Ohio bill signed by Republican Gov. Mike DeWine Wednesday that will bar transgender students in public and private Ohio schools from using "multi-occupancy facility"—bathrooms, as well as locker rooms, changing room, or shower rooms—that match their gender identity.
"We made it clear to Gov. DeWine and Ohio legislators that S.B. 104 does nothing to make trans students safer in schools, and in fact makes life more dangerous for trans kids in Ohio," said Equality Ohio executive director Dwayne Steward in a statement.
"We are deeply disappointed that Gov.DeWine has allowed this dangerous bill to become law that puts vulnerable trans youth at risk for abuse and harassment. Equality Ohio will continue to stand in solidarity with our transgender communities and their families, and we will always fight for fairness in Ohio," Steward added.
The ACLU of Ohio said on social media that "transgender people are part of the fabric of Ohio; our families, our workplaces, and our neighborhoods. We remain steadfast in our commitment to the LGBTQ+ community and are closely considering next steps."
In a statement published after the legislation passed in the Ohio Senate, Jocelyn Rosnick, policy director for the ACLU of Ohio, said that "this bill ignores the material reality that transgender people endure higher rates of sexual violence and assaults, particularly while using public restrooms, than people who are not transgender."
According to Mother Jones, Ohio Senate Minority Leader Nickie Antonio (D-23), the first openly LGBTQ+ person elected to the Ohio Legislature, said during a floor debate on the bill: "It's really not about the bathrooms. It's about demonizing and frightening people."
The law applies to K-12 and higher education institutions and schools are not allowed to offer gender-neutral multi-stall facilities; however, the bill doesn't prevent schools from establishing "a policy providing accommodation such as single-occupancy facilities or controlled use of faculty facilities at the request of a student due to special circumstances."
But Mallory Golski, civic engagement and advocacy manager at the queer youth support organization Kaleidoscope Youth Center, expressed skepticism that providing access through single-occupancy facilities would really help gender expansive students in an interview with Mother Jones. "I just don't foresee a scenario in which schools that are already historically underfunded are going to be able to drop everything and build new bathrooms," she said. "It's just not possible."
The signing of the anti-trans legislation Wednesday runs counter to a move by DeWine last year. The governor chose to veto a bill that blocked gender-affirming care for trans youth and prevented transgender athletes from playing women's sports (lawmakers later overrode his veto).
Ohio is one of 14 states that have implemented some sort of restriction on transgender people's use of bathroom or facilities consistent with their gender identity, according to the think tank the Movement Advancement Project. Some of those states also have restrictions in place on some government buildings.
The recently signed bill in Ohio comes days after Republican Congresswoman Nancy Mace of South Carolina introduced a resolution seeking to prevent trans women employees and members of the House of Representatives from using the women's bathrooms at the U.S. Capitol. Though Mace did not initially name any member of Congress specifically, she later admitted the measure was "absolutely" aimed at incoming Democratic Rep. Sarah McBride of Delaware, the first openly trans person elected to Congress.
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