The spokesman Mike Johnson dropped one of the most aggressive options that the Republican Party was studying in reducing the costs of medical aid to help pay the local President Trump’s local agenda, run to pressure from the vulnerable political Republicans and emphasize the deep party sections that touched the plan.
He left his office on Tuesday evening after his meeting with a group of moderate members, Mr. Johnson told the correspondents that Republicans in the House of Representatives exclude the reduction of the amount paid by the federal government to the states to care for adults at work age who have become eligible for the program by expanding the reasonable care law.
Mr. Johnson also suggested that he tends against another way to reduce spending on medicaid, by changing the way the federal government pays the states – currently by providing a percentage of medical bills for beneficiaries – to fixed fees for one person.
The spokesman said: “I think we are also excluding it, but watch out,” the spokesman said.
The decline was acknowledging that many Republicans in the House of Representatives saw ideas – both of which would create great Lack of state budget – As political. It also stressed how difficult it is for the conference of Mr. Johnson to find discounts in the field of Medicaid, which reaches the goals of spending set by the Republicans for themselves, as well as winning enough voices to pass.
The extremist Republicans soon wandered in their opposition, in a public reminder that Mr. Johnson’s efforts to avoid the main laws of the legislators may cost him decisive support from his right wing. Mr. Trump can die vast Tax and spending planning plan At home, where the speaker can lose less than a handful of sounds.
“Well – I did not rule out that,” the actor Chip Roy, the Republican in Texas, announced on social media after Mr. Johnson’s comments on Tuesday night about giving up the idea of reducing federal payments for some beneficiaid beneficiaries. “It is necessary to stop stealing from the weak to finance the ability of the body.”
Republicans in the House of Representatives are working to determine approximately $ 2 trillion in spending cuts to help compensate both the 2017 tax cuts they want to extend and the new tax reduction they want to pass in their reconciliation bill. The biggest challenge so far focuses on Medicaid, which provides health insurance to 72 million poor and handicapped.
The Parliament’s budget plan calls for $ 880 billion from the committee that oversees the program, a goal that is difficult to achieve without major changes. If Republicans in the House of Representatives are not able to agree on the policies that comply with the instructions, the entire package can be sentenced to the entire package.
The sudden reduction of federal financing for the program by paying less in the forty states and the province of Colombia, which expanded Midikid under Obamakir, would save an estimated $ 710 billion over a decade, according to what he said, according to what he said New estimates It was issued by the Congress Budget Office on Wednesday.
It would have reduced funding for state governments, which could have been left with difficult options. Nine states They have approved laws that would cause them Cover drop automatically For expansion residents if federal financing decreases, three others have judgments that force an immediate legislative review.
Other countries will need to compensate for funds in another way – by reducing interest or payments for medical services providers, raising taxes or lowering other state jobs. As a result of these changes, the budget office estimated that the policy will lead to a loss of 5.5 million Americans to cover their Medicaid and 2.4 million Americans who are not insured.
Obamacare expansion extended the health benefits of the poor who have no disabilities, and it is a number of populations who consider many Republican legislators less worthy of resources than the other populations served by Medicaid, such as poor children, pregnant women and American who live in the role of the elderly. But other Republicans see this group of population an essential electoral circle, as the working -class voters have become an increasing component of the party’s electoral alliance.
Some conservatives like Mr. Roy argued that the Union over cutting the sponsorship law at reasonable prices, a program that hates their party, must be the minimum Republican who are looking to increase the revenues of Mr. Trump’s agenda.
Mr. Roy said in a speech on the home of the house: “I got a group of my colleagues running, saying:“ Well, we cannot touch a civilian. ”Why can’t we? Midikid was expanded under Obama, which we all opposed, and Medikid’s expansion was a great cause of our opposition. “
But many of Mr. Roy’s colleagues, especially those in competitive seats politically, do not agree. The discounts will be especially harmful to the wealthy Democratic -led countriesLike California and New York, where Republicans were elected In the regions It uses many ingredients medicaid.
Medicaid pays these states by 90 percent of the medical bills for people who are covered under expansion, but only half of the other beneficiaries ’bill, which is a great difference.
“I will never support the discounts in Medicaid, Medicare, or social security, which are not specifically aimed at reducing waste, fraud or abuse,” said actor Jeff van Drew, the Republican in New Jersey.
But without any such discounts, Republicans are left with a set of darkest options that allow them to meet their goal of $ 880 billion. Medicaid reforms with wide support through the assembly, such as asking the beneficiaries to prove that they are working to preserve their benefits, will not reduce spending almost As much.
Another option is in consideration, which is to reduce taxes on hospitals and other complex financing maneuvers that the states use to increase federal spending on the program, Unaccredited countries led by Republicans. The budget office estimated that it would reduce the deficit of about $ 668 billion and cause 3.9 million people more insured.
Mr. Trump recently expressed his reluctance to make any major discounts in Medicaid, and he repeated several times on the program It should not be “touched.” A White House official said that Mr. Trump was pushing stronger discounts on prescribed medications used in Medicaid, a substitute that would avoid some political pitfalls but may not save enough to comply with the budget language.
