'Performative Bullsh*t': 16 House Republicans Get Cold Feet Over Medicaid Cuts

Under pressure from millions of constituents who would be stripped of healthcare coverage under the GOP's slash-and-burn reconciliation package, more than a dozen House Republicans claimed Tuesday that they would not back the Senate's version of the legislation if it contains proposed cuts to the Medicaid provider tax.

"Protecting Medicaid is essential for the vulnerable constituents we were elected to represent. Therefore, we cannot support a final bill that threatens access to coverage or jeopardizes the stability of our hospitals and providers," wrote 16 House Republicans led by Rep. David Valadao (R-Calif.)—whose largely rural Central Valley district has one of the highest concentration of Medicaid recipients in the nation—in a letter to Senate Majority Leader John Thune (R-S.D.) and House Speaker Mike Johnson (R-La.).

"Throughout the budget process, we have consistently affirmed our commitment to ensuring that reductions in federal spending do not come at the expense of our most vulnerable constituents," the lawmakers' letter continues. "We write to reiterate that commitment to those we represent here in Washington."

"We support the Medicaid reforms in H.R. 1, which strengthen the program's ability to serve children, pregnant women, the elderly, and individuals with disabilities," the letter states, referring to provisions in the House version of the so-called "One Big Beautiful Bill Act" that would still slash federal Medicaid spending by billions of dollars, introduce work requirements for recipients, and impose other conditions that critics say would result in millions of vulnerable people losing their coverage in order to pay for a massive tax cut that would disproportionately benefit the wealthy and corporations.

The letter continues:

The Senate proposal also undermines the balanced approach taken to craft the Medicaid provisions in H.R. 1—particularly regarding provider taxes and state directed payments. The Senate version treats expansion and nonexpansion states unfairly, fails to preserve existing state programs, and imposes stricter limits that do not give hospitals sufficient time to adjust to new budgetary constraints or to identify alternative funding sources.

We are also concerned about rushed implementation timelines, penalties for expansion states, changes to the community engagement requirements for adults with dependents, and cuts to emergency Medicaid funding. These changes would place additional burdens on hospitals already stretched thin by legal and moral obligations to provide care.

"Protecting Medicaid is essential for the vulnerable constituents we were elected to represent," the lawmakers concluded. "Therefore, we cannot support a final bill that threatens access to coverage or jeopardizes the stability of our hospitals and providers."

Both chambers of Congress are scheduled to be on recess next week for the Independence Day holiday. Senators still have not voted on the package—and both chambers must pass identical versions of the megabill before it will reach President Donald Trump's desk.

Trump impatiently said on his Truth Social network Tuesday: "To my friends in the Senate, lock yourself in a room if you must, don't go home, and GET THE DEAL DONE THIS WEEK. Work with the House so they can pick it up, and pass it, IMMEDIATELY. NO ONE GOES ON VACATION UNTIL IT'S DONE."

Democratic Congressional Campaign Committee spokesperson Justin Chermol dismissed the 16 GOP lawmakers' letter as "performative bullshit."