Expressing the sense of Congress that Medicaid is an important lifeline for the health care of millions of Americans.

Whereas the Federal Medicaid program was established on July 30, 1965, when President Lyndon B. Johnson signed the Social Security Amendments of 1965 into law;
Whereas it was designed as a cooperative Federal-State program to provide health insurance for individuals with limited income;
Whereas Medicaid has protected the health care of millions of American families, saved lives, and improved the economic security of the Nation;
Whereas Medicaid continues to be a vital lifeline for older adults, people with disabilities, and low-income families;
Whereas all 50 States use the program to deliver better health outcomes for their residents;
Whereas the Centers for Medicare & Medicaid Services administers the program;
Whereas, on July 4, 2025, President Donald J. Trump signed into law the One Big Beautiful Bill Act, H.R. 1, which makes nearly $1,000,000,000,000 worth of cuts to the Federal Medicaid program over 10 years;
Whereas, on January 1, 2026, Affordable Care Act Enhanced Premium Tax Credits were eliminated;
Whereas, on October 1, 2026, new Federal Medicaid eligibility rules will take effect for certain immigration statuses;
Whereas, on January 1, 2027, new paperwork requirements for Federal Medicaid will take effect for certain adult enrollees;
Whereas the Congressional Budget Office projects 10,000,000 Americans will lose their health care due to the health care cuts under H.R. 1; and
Whereas these cuts will have devastating consequences on the health, well-being, and economic security of the United States: Now, therefore, be it
That the House of Representatives strongly urges the Centers for Medicare & Medicaid Services to immediately work with State Medicaid programs to issue guidance following a determination on how the funding cuts and new requirements under H.R. 1 will impact State Medicaid agencies and enrollees.