President Donald Trump's budget, expected to be released on May 23, will reportedly include hundreds of billions of dollars in cuts to Medicaid.
A senior administration official confirmed to CNN that Medicaid funding will be reduced by $800 billion in Trump's budget. The decrease in funding assumes the GOP health care bill, which the House of Representatives passed earlier in May, will become law, the official said.
The GOP health care bill states that in 2020, states that expanded Medicaid would no longer receive enhanced federal funding to cover low-income adults. Any states that do not currently receive the enhanced funding would not be able to do so. Around 11 million more adults have health care coverage because of the Medicaid expansion. This funding would be cut if the GOP health care plan takes effect.
The Medicaid program in general, which covers more than 70 million low-income children, adults, disabled Americans and the elderly, would also get less federal funding under the proposed budget. States will either receive a set amount per enrollee or fixed funding with a block grant.
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Trump's budget will also include cuts to the child tax credit, Temporary Assistance for Needy Families, and food stamps under the Supplemental Nutrition Assistance Program, according to CNN.
The budget would cut $193 million from SNAP, a document circulated on Capitol Hill from the White House said. The SNAP program currently helps 42 million citizens.
At the 10-year mark, Trump's budget is supposed to have balanced the federal ledger, without cutting Social Security or Medicare retirement benefits. It relies on positive estimates of economic growth and the revenues that will accompany it, while avoiding tax cuts.
Not all Republicans support Trump's Medicaid cuts.
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“It’s a problem -- it’s a big problem,” Republican Rep. Harold Rogers of Kentucky, the chairman of a House appropriations subcommittee, said, according to The Washington Post. “I've got one of the poorest districts in the country, with lots of Medicaid recipients as well as other programs ... The cuts are draconian.”
Republican Rep. Tom Cole of Oklahoma, a senior member of the budget and appropriations committees, said that the budget is a "useful debating document" that is full of proposals that would not pass in Congress. He added that large cuts to Meals on Wheels and the National Institutes of Health would upset both Republicans and Democrats.
“We have to avoid the temptation of giving the president everything he wants, because if we gave him everything he wanted into writing we couldn't enact it,” Cole said.
Trump's budget will also reportedly include a proposal for paid leave for parents after the birth or adoption of a child, a $200 billion infrastructure plan that, along with private investment, could result in up to $1 trillion in construction projects, and funding for the border wall between the U.S. and Mexico, CNN reports.
The funding for the wall will be $1.6 billion for construction and $300 million for additional border patrol and immigration agents.