WASHINGTON - House Republicans released legislative texts Sunday night that included important parts of the partisan agenda bill, which included cuts and other changes to Medicaid, one of the most controversial issues they face when trying to advance President Donald Trump’s agenda with a scanned package.
The legislation released by the Energy and Commerce Commission will move forward Tuesday afternoon and includes a 160-page section covering health care and Medicaid.
The bill would reduce Medicaid spending by passing stricter eligibility verification, citizenship checks, stricter screening of providers who are reimbursed, and stricter screening of providers in states that provide coverage for residents living in illegally residency in the United States.
The bill also seeks to impose work requirements to accept Medicaid from sound adults aged 19 to 64, requiring them to work at least 80 hours per month (or perform 80 hours of community service or other programs). It includes exceptions to pregnant women and short-term difficulties exemptions in limited cases.
It does not include some of the most radical provisions that have created internal tensions, such as per capita restrictions on Medicaid spending under the Affordable Care Act and the increased burden on states covering Medicaid expansion populations.
“When many Americans who really need Medicaid lifesaving services serve life-saving, Washington cannot further undermine the program through subsidies. That’s why our bill will implement wise work requirements,” Rep. Brett Guthrie, R-ky.
Gusri said he expected a "fear" attack on the legislation, but insisted that "Medicaid for children, mothers, people with disabilities and seniors is retained and strengthened, the program's design."
Democrats circulated a letter from the nonpartisan Congressional Budget Office and conducted preliminary analysis found that the health care portion of the bill would reduce spending by $715 billion and “reduce health insurance by at least 8.6 million.”
“Trump and Republicans claim they won’t cut Medicaid and take away people’s health care,” Rep. Frank Pallone, the committee’s top Democratic Congressman, said in a statement. “Let’s be clear that Republican leaders issued this bill under night cover because they don’t want people to know what they really intend.”
"It's not cutting fat from around the edges, it's cutting fat into bones. The vast majority of the savings in this bill will come from taking health care away from millions of Americans," he added. "There is no place where 'waste, fraud and abuse' is cutting people's health care and using that money to give billionaires tax breaks."
The legislation could be amended on the committee, and it would need to win over almost every Republican on the narrow-minded house floor to become law. Then it will go to the Senate.
Medicaid issues have caused a rift of trouble as some Republicans warn their colleagues not to mess with the plan. Among them are Senator Josh Hawley, R-Mo. , he published an op-ed in the New York Times on Monday, saying: "If Congress cuts funds for Medicaid benefits, workers in Missouri and their children will lose health care. Hospitals will be closed. It's simple. And, the model will be replicated across the country."