All 50 State Medical Associations Send Letter to Congress Regarding Medicaid

March 6, 2025

On February 27, a coalition of all 50 state medical associations sent a letter urging ranking members of Congress to protect Medicaid from the $880 billion House Energy and Commerce Committee spending reduction target in the House Budget Resolution. 

Although the resolution does not mention Medicaid specifically, it would be difficult for the committee to hit its reduced spending target without significant cuts to Medicare or Medicaid. The president has consistently said he will not cut Medicare, but has offered conflicting statements on Medicaid. 

“If these cuts are enacted, millions of our Medicaid patients will lose their coverage and we expect all Medicaid patients to lose some of their existing benefits and access to essential health care services,” the coalition states in its letter. “Once our patients lose coverage, their health conditions will worsen and the financial burden will shift to the states, physicians, emergency rooms, hospitals, and all other patients.” 

The coalition goes on to discuss how specific proposals to cut Medicaid are problematic, including per-capita caps, reductions in federal match funds for revenue raised through state provider and managed care organization assessments, and reductions in federal match funds for provider reimbursement. 

The House Energy and Commerce Committee will spend the next several weeks to months drafting legislation to achieve the $880 billion reduction target. Once the legislation passes out of the House Energy and Commerce Committee, the House and Senate Budget Committees will attempt to reconcile the cuts proposed by the House and the Senate through what is called a “budget reconciliation process.”  

The MMA will continue to update its members on the status of proposed federal cuts to Medicaid.   

If you have any questions, please contact Adrian Uphoff, MMA health policy analyst.