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Speaker of the House Mike Johnson (R-LA) at the Conservative Political Action Conference (CPAC) at the Gaylord National Resort and Convention Center in National Harbor, Maryland on February 20, 2025
Will Republicans really slash Medicaid?
This week, House Republicans are expected to vote on a budget measure that would fund an extension of President Donald Trump’s first-term tax cuts by taking an axe to one of America’s key entitlement programs: Medicaid.
What’s Medicaid? A joint federal and state program that funds medical care for low-income people. About a quarter of Americans are enrolled directly, and two-thirds say they or their family members have benefitted from the program.
What would the measure do? Slash $2 trillion from the federal budget over the next decade, including about $800 billion from Medicaid. The Medicaid cuts would come by placing per-capita limits on federal funding, narrowing states’ tax options for funding Medicaid, and imposing work requirements on recipients.
The debate: The GOP says these measures will root out waste and abuse, shift more of the burden onto states, which know their own needs better, and incentivize recipients to get off the dole.
Critics say the sweeping reductions would harm the poor by slashing their access to health care while funding tax cuts that disproportionately benefit the wealthy.
What’s Trump saying? He said he would “love and cherish” Medicaid, along with its related old-age benefit programs, Medicare and Social Security, which the GOP has said it wouldn’t touch. But Trump has also endorsed the budget resolution.
How the people see it: Strong majorities of Democrats, Republicans, and Independents view Medicaid favorably, according to recent polling by the Kaiser Family Foundation.
The GOP’s dilemma: The party is committed to cuts in taxes and spending, but several GOP districts with large populations of Medicaid recipients are up in arms. And given the GOP’s razor-thin House majority, and unified Democratic opposition, the Republicans can’t afford to lose more than a single vote in the House.
Hunter Biden, son of U.S. President Joe Biden, departs federal court n Wilmington, Delaware.
House set to vote on Biden impeachment inquiry
So far, it looks like the House GOP has the votes, with many of the Republicans who were skeptical six months ago – most from Biden-won districts – coming on board. While they are still concerned about potential backlash in their districts, the desire to force subpoenas and White House cooperation is changing their minds.
The pro-inquiry ranks got a boost on Friday when Hunter Biden was charged by a federal court for allegedly failing to pay millions in income taxes. The House has subpoenaed Biden to testify in a closed-door hearing on Wednesday. Biden agreed on the condition that the hearing be public, citing concerns that his statements would be taken out of context. The House refused, setting up the potential for a legal showdown if Biden fails to appear.
While there has not yet been any hard evidence of wrongdoing by the president himself, Republicans frequently point to a 2018 video, where President Biden speaks about withholding a loan until guarantee until a prominent Ukrainian official – with links to a Ukrainian gas company that Hunter is on the board of – was fired. Republicans need to build a bridge between Hunter Biden’s vices and their accusations that his father committed high crimes and misdemeanors. The GOP points to potential links between If they fail to do so, Republicans risk the inquiry appearing to be a form of revenge for the impeachments of Donald Trump, which could jeopardize Republicans in swing districts.
Ousted U.S. House Speaker Kevin McCarthy.
McCarthy is ousted as House speaker. What comes next?
In a historic first, the most powerful Republican has been ousted.
After just nine months on the job, House Speaker Kevin McCarthy was booted on Tuesday when Democrats joined eight Republicans in backing a vote calling for his ouster. Crucially, the vote was brought by the right flank of McCarthy’s party.
How’d we get here? A handful of anti-establishment, far-right Republicans have opposed McCarthy’s speakership from the get-go, but the immediate trigger was the speaker’s decision to work with Democrats over the weekend to pass a temporary spending bill to avoid a government shutdown. Though that stopgap measure, which will expire on Nov. 17, did not include more aid for Ukraine, McCarthy did agree to introduce a separate measure to dole out more funds to Kyiv, infuriating far-right members of his caucus.
The House is now in uncharted territory. The bruised and battered McCarthy, who appeared to relish the job he fought tooth and nail for back in January, said late Tuesday that he would not put his hat back in the ring, and it's unclear who might replace him. Going forward, the tear-it-all-down wing of the party, though small, likely won’t be inclined to back any lawmaker they consider to be part of the GOP establishment they despise, and so it’s unclear who – if anyone – will be able to reap the 218 votes needed to become speaker.
The repercussions are huge. As Congress controls the purse strings, the House and Senate must pass appropriation bills to fund the federal government before the current measure lapses in mid-November. Failure to do so could cause major losses for the US economy (more on that here).
Given the unprecedented nature of the situation, it’s unclear how long it’ll take to vote on a new speaker and whether the temporary speaker, Rep. Patrick McHenry of North Carolina, a McCarthy ally, will bring bills to the floor for a vote.
While this chaos dims the chances of the House passing a spending bill before the mid-November deadline, it also makes the future of US aid to Ukraine increasingly murky. That’s because the right flank of the GOP vehemently opposes ongoing aid to Ukraine, and a new speaker might not want to push the matter given how it panned out for McCarthy.
Despite the fact that a majority of US lawmakers support ongoing aid for Ukraine, it’s the speaker of the House who decides which bills come to the floor for a vote.
A sign of the depths of disarray? When CNN’s Jake Tapper asked a GOP lawmaker on Tuesday evening whether he anticipates a new speaker will be tapped soon, he replied: “I have no earthly idea, brother.”
Jon Lieber, head of Eurasia Group's coverage of political and policy developments in DC, shares his thoughts on what’s likely to come next after McCarthy’s ouster. Tune in here.