The NPR Politics Podcast Why Medicaid Cuts Are In The GOP Tax Bill
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May 28, 2025 
Selena Simmons-Duffin, NPR's health policy correspondent, delves into the implications of proposed Medicaid cuts linked to the GOP tax bill. She discusses the crucial distinctions between Medicaid and Medicare, highlighting growing concerns over eligibility changes that could affect millions. The conversation addresses the potential fallout for vulnerable populations, particularly able-bodied individuals at risk of losing coverage. Additionally, the political divide surrounding Medicaid reforms is explored, emphasizing the impact on rural healthcare and the narrative shaping public perception.
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Medicaid's Vast Reach and Cost
- Medicaid covers 80 million Americans, about one in five people, including low-income kids, adults, and the elderly.
- It's a joint federal-state program with $880 billion spent annually, making it the largest state budget item in many places.
Medicaid Cuts Fund Tax Bill
- Republicans include Medicaid cuts in the tax bill to offset the cost of tax cuts and avoid Senate filibuster via reconciliation.
- Medicaid’s eligibility and program administration would change to save money, focusing on work requirements and restrictions.
Work Requirements Target Small Group
- The bill's Medicaid work requirements target able-bodied, non-working adults, roughly 0.8% of all Medicaid recipients.
- Failing to meet work proof requirements could result in loss of coverage and federal/state savings.