House Energy and Commerce Committee to unveil significant Medicaid cut proposals May 7

A potential historic cut to the Medicaid program is looming, with significant implications for millions of beneficiaries. During the County of Santa Clara Health and Hospital Committee meeting on April 30, 2025, officials expressed deep concern over upcoming proposals that could reshape Medicaid funding. The House Energy and Commerce Committee is set to unveil its Medicaid cut proposals on May 7, targeting a staggering $880 billion reduction, although some committee members suggest the actual cuts may range between $500 billion and $600 billion.

This anticipated reduction has sparked a national movement against the cuts, with California and other states actively pressuring Congress. Notably, a group of twelve Republican senators recently signed a letter opposing major Medicaid cuts, emphasizing the need to protect vulnerable populations, including children, seniors, pregnant women, and individuals with disabilities. However, the letter notably omits childless low-income adults, a group significantly impacted by the Affordable Care Act expansion.

The meeting highlighted the complexities of the proposed cuts, particularly concerning "improper payments" that some Republicans view as a target for reductions. These payments are crucial for the financial viability of public hospital systems, including Santa Clara County's. The committee's discussions also touched on work requirements for Medicaid eligibility, which have previously led to significant drops in enrollment in states that implemented them.

As negotiations continue in Washington, the stakes remain high. The committee's proposals could threaten the viability of hospitals and the health coverage of millions. With the May 7 deadline approaching, the committee's decisions will be closely watched, as they could have far-reaching consequences for healthcare access in Santa Clara County and beyond.