House Republicans Advance Medicaid Cuts, Tax Limits Amid Internal GOP Divide

House Republicans are advancing a sweeping tax and spending bill that includes significant cuts to Medicaid, aiming to reduce federal spending by over $715 billion. The legislation proposes a moratorium on new or increased state taxes on healthcare providers, which states use to generate federal matching funds, potentially impacting state budgets and access to care. The bill also introduces work requirements and more frequent eligibility checks for Medicaid recipients, measures critics argue will hinder enrollment and lead to millions losing coverage, with estimates of up to 8.6 million people affected. Internal GOP divisions persist, with conservatives demanding deeper cuts and earlier implementation of work requirements, while moderates from high-tax states seek expansions to the SALT deduction. The package also contains controversial provisions such as banning Medicaid funding for Planned Parenthood, drawing sharp Democratic opposition. Republicans are pushing to pass the bill before Memorial Day amid concerns about political backlash due to the potential erosion of federal services benefiting vulnerable populations.