The budget bill they are passing (has passed the house). Here is AIs take )

The bill being considered would result in significant cuts to both Medicaid and Medicare. Medicaid spending could be reduced by nearly $700 billion, and Medicare could face mandatory cuts of nearly $500 billion due to the Statutory Pay-As-You-Go Act (S-PAYGO). [1, 2, 3]
Medicaid Cuts:

• The bill proposes reducing federal Medicaid spending by nearly $700 billion. [2]
• Some states could face additional cuts, such as a $131 billion reduction in federal funds to 33 states and D.C. from 2028 to 2034. [4]
• The bill includes provisions for states to impose cost-sharing on Medicaid enrollees with incomes above the poverty level, potentially leading to additional cuts and limiting access to care. [5]

Medicare Cuts:

• The bill could trigger a $500 billion reduction in Medicare spending due to S-PAYGO, which would kick in if the bill increases the deficit. [3]
• S-PAYGO would likely result in automatic 4% reductions to most Medicare spending, including payments to hospitals, physicians, Medicare Advantage plans, and standalone prescription drug plans. [1]
• While some spending to support low-income beneficiaries is exempt, most Medicare spending is not. [1]

AI responses may include mistakes.

[1] https://www.kff.org/quick-take/house-reconciliation-bill-could-trigger-500-billion-in-mandatory-medicare-cuts/[2] https://www.youtube.com/watch?v=KqBAIPKS2pk[3] https://www.medicarerights.org/medicare-watch/2025/05/22/broken-promises-republicans-budget-reconciliation-bill-would-cut-medicare[4] https://www.cbpp.org/research/health/house-republican-bill-grows-even-harsher-cutting-medicaid-funding-to-states-that[5] https://www.cbpp.org/research/health/house-republican-health-agenda-cuts-coverage-raises-peoples-costs