President Trump is pushing a new bill called the One Big Beautiful Bill Act, aiming to extend his tax cuts and increase border security funding. As Republicans discuss the bill, Medicaid has become a major point of debate, with some GOP members wanting to add strict work rules or cut the program.
Trump’s Message on Medicaid
While some Republicans want to require Medicaid recipients to prove they are working or looking for work, Trump is focused on stopping wasteful spending instead. He told his party members clearly, “We don’t want any waste, fraud or abuse.” According to reports, he warned hard-liners in his own party not to “mess around” with Medicaid.
Work Requirements and Debate
Some GOP lawmakers want Medicaid recipients to show they are either working or in school for a certain number of hours to keep their health benefits. This “Need to Work” rule is controversial and has divided opinions within the party.
Despite the debate, there is a move to speed up when the new rules would take effect—from 2029 to 2027—showing Trump’s determination to get the bill passed quickly.
House Leaders Push the Bill Forward
House Majority Leader Steve Scalise said the bill would soon be presented to the House Rules Committee. Moderate Republicans who have doubts about Medicaid changes are being encouraged to support Trump’s agenda.
The bill recently passed out of the House Budget Committee in a late-night vote, even though some GOP members and Democrats tried to block it. Only a few GOP holdouts were needed to advance the bill.
Next Steps
The bill is expected to be updated soon to include compromises between hard-line Republicans and those supporting Trump’s plans. These changes will shape the final version before it goes to the full House for a vote.
President Trump is focused on extending tax cuts and boosting border security but faces challenges within his own party over Medicaid. While some want work requirements or cuts, Trump insists on targeting waste instead. The coming weeks will be crucial as Republicans decide how to move forward on this major bill.