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The Big Beautiful Bill is now getting ready for passage through the House. They have the needed votes.

gbg3

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Chad Pergram reported that the long meeting with the Freedom Caucus was successful today. A Manager's Amendment will now be attached to the bill.

This amendment will include moving the Medicaid work requirement up to the end of December 2026 - with any states wishing to start it before that date, being able to do so.

Also, green energy tax credits will end earlier, with some ending in 2028.

Lastly, and I don't understand what this means but Pergram's exact quote was - "Incentive to harness some of the expansion of Medicaid into these non-Medicaid states." I'm trying to figure out what that means but, so far, my search is coming up with nothing.

The Manager's Amendment will now be added (by the Rules Committee, I think) and the bill should be ready for a final vote late tomorrow morning or early tomorrow afternoon. Then on to the Senate it will go.
 
Incentive to harness some of the expansion of Medicaid into these non-Medicaid states."
Click to expand...
sounds like an incentive to expand Medicade expansion even further.. Tedious Trump just HAD to run his big mouth and say "dont touch Medicade".
The exponential growth of Medicade expansion is a runaway unconstrained entitlement. Now it will be expanded further
 
I am also NOT a fan of Medicaid expansion. I knew it wasn't going to happen in this bill, but I wish it would have been returned to its pre-expansion state.
 
Trump lied to you. He said there would be no changes to Medicaid, Medicare, or Social Security when he ran for president last year. Shit, he just ****ing said it yesterday.

But you are clueless....just the way Trump likes you.
 
Yeah, providing health and medical care to more Americans via Medicaid just doesn't begin to have the impact that cutting taxes does.....
 
Now info is starting to roll out on the part I didn't understand in the OP. I'm still a little confused by this part.

"The new amendments would make another notable change to Medicaid -— one that hard-liners hope would incentivize states to not to expand their programs under the ACA after the legislation goes into effect. The wonky measures would give states a financial incentive not to expand coverage to people with higher incomes than traditional enrollees, though still near the poverty line. The policy would make higher payments to providers like hospitals for uncompensated care.

Hard-liners, particularly Rep. Chip Roy of Texas, pushed for the provision to be in the bill during a White House meeting with President Donald Trump Wednesday afternoon, according to three people with direct knowledge of the meeting. One senior GOP aide described the provision as “a small Medicaid tweak” that would give the hard-liners a reason to support the bill, along with several other minor changes."

House GOP's Medicaid revisions aim to please hard-liners

Newly released amendments will likely add savings — and coverage losses — under the Republican megabill.
www.yahoo.com
 
It looks like it is the opposite of what we were thinking. The financial incentive will be for not putting people into the expansion category rather than an encouragement for non-expansion states to enter into the expansion piece. I'm glad to read the link in comment 8 and appreciative to Chip Roy for pushing that change.
 

Let's fleece the middle class while feeding the rich. Obviously you want that.
 
...The proposal will move up the start date of Medicaid work requirements from Jan. 1, 2029, to Dec. 31, 2026, in a concession to conservative hard-liners who have been pushing for deeper cuts to the program.

The work requirements included in the previous bill would yield nearly $280 billion in savings, according to congressional scorekeepers — the most of any policy under the House Energy and Commerce Committee’s jurisdiction. The new accelerated timeline could lead to additional savings of tens of billions of dollars but also result in even more people losing coverage. GOP moderates have not raised significant concerns about implementing them more quickly.

The new bill does not include controversial changes hard-liners had pushed for that would alter the federal share of spending in the joint federal-state Medicaid program. Moderates had balked, arguing they would cut too deep into benefits, and House Speaker Mike Johnson had ruled out those changes.

But in other sops for conservatives, the revisions would expand the criteria for states that could lose a portion of their federal payments if they offer coverage to undocumented people [especially targeting California state law]. It also moves to bar coverage of gender-affirming care for adults under the program, not just minors as previously proposed.

The Congressional Budget Office estimated that a previous iteration of the bill could lead to 7.6 million people who had Medicaid going uninsured, and millions more from the the Affordable Care Act marketplace also losing coverage. Those coverage losses are expected to be higher with this new version. The Energy and Commerce portion of the bill has been estimated to save nearly a trillion dollars over a decade....

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However, trump's and the GOP's tax cuts will cost nearly 4 trillion dollars over a decade.

Let's see, Republicans are acting to deprive millions of Americans of health and medical coverage AT THE SAME TIME Republicans are acting to decrease revenue drastically. Big loser: Americans and their families. Big winners: the deficit (and the uber-rich).
 
And one more (very brief) mention of the part that confused me in the OP. This from the WSJ.

"Lawmakers from states such as Florida and Texas that haven’t expanded Medicaid under Obamacare would get a favorable change to a funding formula"
 
gbg3 said:
And one more (very brief) mention of the part that confused me in the OP. This from the WSJ.

"Lawmakers from states such as Florida and Texas that haven’t expanded Medicaid under Obamacare would get a favorable change to a funding formula"
Click to expand...
Ah, rewarding red states for punishing their constituents.

Sounds very trumpian. And Republican.
 
Oh good. We're back to the good old days where millions of Americans will make too much to qualify for affordable healthcare yet too little to pay for insurance plans. Nothing like progress in reverse. MAGA!
 
Good!
 
Phys251 said:
As long as you can fleece the middle class, amirite?
Click to expand...
And deprive people of medical and health care.

Short-sighted, not to mention cruel and stupid, but, hey, today's GOP doesn't care. All it wants to do is control peoples' lives - and to punish them as well.
 
I don't believe Trump or Johnson have the pull to pass this.

I will have under estimated them if they succeed.
 
Pyrite said:
And deprive people of medical and health care.

Short-sighted, not to mention cruel and stupid, but, hey, today's GOP doesn't care. All it wants to do is control peoples' lives - and to punish them as well.
Click to expand...

Not to mention skyrocketing the deficit. Don't they care about deficits and debts? Oh yes, only when a Democrat is President.
 
Pyrite said:
And deprive people of medical and health care.

Short-sighted, not to mention cruel and stupid, but, hey, today's GOP doesn't care. All it wants to do is control peoples' lives - and to punish them as well.
Click to expand...
Small minded government is what they always told us.
 
And one more on the part that confused me. This from CNN.
I appreciated that some states never joined the expansion piece, so I really like this news.

"And it creates a new incentive for states that have not already expanded Medicaid under Obamacare. Those states are permitted under the measure to pay 110% of Medicare rates for state directed payments — a Medicaid financing mechanism."
 
You support massively increasing our national debt.
 
"Permitted" to pay providers a little bit extra....the reward for red states that refused/refuse to provide health and medical coverage for residents.

AND, of course, providers are penalized in the states that did the right thing and provided health and medical coverage for residents.
 
Metric Mouse said:
I don't believe Trump or Johnson have the pull to pass this.

I will have under estimated them if they succeed.
Click to expand...
The two of them certainly worked very long and hard today, with Johnson going back and forth between the various factions for hours and hours.
 
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