GOP-controlled Senate Finance Committee trades $930 billion Medicaid for corporate cuts

The Senate version of the reconciliation bill cuts $930 billion from Medicaid over 10 years, the largest reduction to the health-care safety net in U.S. history.

Most Medicaid enrollees ages 19–64 would face an 80-hour monthly work, volunteer, or school requirement, with limited exceptions for disability, pregnancy, or caregiving.

State provider taxes that help fund Medicaid would be gradually reduced from 6 percent to 3.5 percent by 2032, costing states billions in federal matching funds.

Republicans doubled the rural hospital stabilization fund from $25 billion to $50 billion over 10 years to secure 🐻Alaska Senator Lisa Murkowski’s vote.

All Medicaid funding to abortion providers would be cut, preventing clinics like Planned Parenthood from billing Medicaid even for non-abortion services.

The ACA marketplace open enrollment period would shrink from 11 weeks to 6 weeks and automatic re-enrollment for existing participants would be eliminated.

SNAP work requirements would expand to include enrollees ages 55–64, parents of children over 14, veterans, former foster youth, and people experiencing homelessness.

A proposed $1,000 asylum application fee was ruled out by the Senate parliamentarian and replaced with a $100 fee.

The legislation allocates $46.5 billion for border wall construction and related immigration enforcement expenses.

The cap on the state and local tax (SALT) deduction would rise from $10,000 to $40,000 for five years before reverting to $10,000.

Medicaid enrollees with incomes between 100 percent and 138 percent of the federal poverty level could face copayments up to $35 for certain services.

Most clean-energy tax credits would be rolled back, including the end of electric vehicle credits and reductions in other green incentives.

Access to a $500 million broadband program would be conditioned on states not enacting their own AI regulations.

A provision to slash taxes on gun silencers was added during negotiations.

The Senate parliamentarian rejected four separate 🐻Alaska-specific Medicaid proposals during reconciliation.

🐻Alaska and 🌺Hawaii could obtain waivers from the Medicaid work requirements by demonstrating a “good faith effort” to comply.