House Committee Pushes Major Shifts in Medicaid and Energy Policies

The House Energy and Commerce Committee proposes a reconciliation bill that could transform Medicaid and energy policies as we know them.

Key Insights

• Committee targets $880 billion in spending cuts.
• Bill introduces Medicaid work requirements and proof of residency for immigrants.
• It bans Medicaid funds for transgender procedures on minors.
• Aims to annul Biden-era energy grants.

Medicaid Reforms Under Scrutiny

The House Energy and Commerce Committee seeks sweeping reforms in Medicaid via a new reconciliation bill. The proposal requires able-bodied adults without dependents to meet community engagement requirements to receive Medicaid.

Critics worry these requirements could lead to millions losing coverage, citing potential burdensome fees for those earning modest incomes.

Impact on Vulnerable Demographics

The bill restricts Medicaid support for gender-affirming care for minors, a contentious issue likely to face intense debate. Furthermore, the draft limits support for organizations performing abortions beyond Hyde Amendment allowances.

The legislation requires proof of legal residency for Medicaid recipients, revising federal matching rates for states providing healthcare to undocumented immigrants.

Shifts in Energy Policy

The bill moves to abolish multiple Biden-era climate policy grants and plans to redirect unallocated funds. This act is intended to challenge recent climate actions and reshape energy policy toward more conservative ideals.

As the bill promises fiscal savings, the Congressional Budget Office estimates the changes will inflate the uninsured rate by 8.6 million over ten years. This adds to debates regarding fiscal responsibility versus constituents’ needs.

My friend, @RepGuthrie, is leading the charge to pass President Trump’s agenda in the House. From today’s @wsj, he lays it out – Republicans are working to save Medicaid, cut taxes, and restore common sense, just as the President laid out in his inaugural. 🇺🇸🇺🇸🇺🇸 pic.twitter.com/cprPCbLkeA

— Scott Jennings (@ScottJenningsKY) May 12, 2025

Sources:

1. House GOP releases reconciliation bill to cut Medicaid funding
2. Republicans Make Big Medicaid Cuts in Their Reconciliation Bill — But Not the Ones Conservatives Wanted
3. ‘Under Cover of Night,’ GOP Unveils Plan to Kick Over 8 Million Off Medicaid | Common Dreams
4. EXCLUSIVE: Inside the $880 Billion Republican Plan for Medicaid Overhaul