Adam Searing ๐บ๐ธ๐ณ๏ธโ๐๐ต
@AdamSearing
Research Faculty Georgetown University, CCF. Attorney, health policy. Lifelong cyclist, sailor, kayaker and hiker. Mainly at @adamsearing.bsky.social
I've moved over to @adamsearing.bsky.social for my health....see you there. bsky.app/profile/adamseโฆ
My home state GOP Senator Thom Tillis dug up the facts and said it best this week on $1 trillion in cuts to Medicaid. @JoanAlker1, Andy Schneider, and I let his words speak for themselves in our new blog. ccf.georgetown.edu/2025/07/01/truโฆ
My colleague Edwin Park has blogged about the new Senate bill CBO score confirming that Medicaid cuts are over $1 trillion. ccf.georgetown.edu/2025/06/29/conโฆ
This effectively repeals Medicaid expansion in only a few years. New analysis here: cbpp.org/research/medicโฆ
News: Sen. Rick Scott amendment lowering federal match for Medicaid expansion has been filed. Would be "grandfathering" in beneficiaries until 2030 at 90 percent match, lower state-specific rate kicks in in 2031. Cost savings of $313 billion full copy: cdn.sanity.io/files/ifn0l6bsโฆ
G.O.P. Bill Has $1.1 Trillion in Health Cuts and 11.8 Million Losing Care, C.B.O. Says nytimes.com/2025/06/29/us/โฆ via @NYTimes
Iโve respectfully disagreed with Rep. Tillis, Speaker Tillis and Sen. Tillis for years on Medicaid. On the effect of the trillion dollars of cuts to Medicaid in the Senate bill, today I 100% agree with the Senator. Great statement.
The facts matter. The people matter. The Senateโs Medicaid approach breaks promises and will kick people off of Medicaid who truly need it. The Senate can make one simple fix to make sure that wonโt happen.
๐Our new report finds Medicaid is a key insurer for small business workers and their families. This is a pretty astounding finding especially as the denominator is all Medicaid enrollees which includes seniors and people with disabilities. ccf.georgetown.edu/2025/06/26/medโฆ
In a shocking dereliction of duty the leadership of the U.S. Senate - the so-called โworldโs greatest deliberative bodyโ - released text at midnight last night for the โOBBBโ allegedly to start debate at noon today. Medicaid cuts remain extremely draconian.
The Senate version of the Medicaid work requirement doubles down and worsens a bad policy advanced by the House. It also gives the Trump Administration enormous leverage to protect their Governor friends and punish their enemies by timing the coverage losses. 1/7
From me and @JoanAlker1 : "The โOne Big Beautiful Billโ is an Attack on the Affordable Care Actโs Vision of Universal Coverage" ccf.georgetown.edu/2025/06/11/theโฆ
18 state-based marketplaces just sent a pretty blistering letter to House leadership about just how damaging the ACA policies in the reconciliation bill โ which drive almost a quarter of estimated coverage losses, before accounting for expiration of enhanced subsidies โ would be.
Our new report on the role of Medicaid for women of child-bearing age in rural areas is out! We have state by state data. Rural areas have been losing labor + delivery units at a rapid clip. Medicaid cuts will make this scary situation even worse for moms and babies.
"House Republicans are pushing to slash nearly $1 trillion from two of the nationโs bedrock safety net programs, Medicaid and food stamps....millions of Americans could lose access to these benefits as a result of a historic pullback in federal support." cnn.com/2025/05/21/polโฆ
My @GeorgetownCCF colleague Leo Cuello's detailed overview of Medicaid and immigrant health coverage - and how kids and pregnant women who are legal immigrants are now being targeted for health coverage cuts by the House "big beautiful bill" ccf.georgetown.edu/2025/05/21/theโฆ
My new @georgetownccf.bsky.social blog on some of the cuts (and an attempt to change state policy toward immigrants) targeting Medicaid expansion in the Houseโs budget reconciliation bill ccf.georgetown.edu/2025/05/13/cutโฆ
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The House Republican Medicaid plan avoids political flashpoints like directly cutting the Medicaid expansion. But, it's not moderate, with $715 billion in projected spending reductions and 8.6 million more people uninsured.
Fascinating point in fine print of new House GOP Medicaid cuts, mandatory work requirements has an implementation date of Jan 1, 2029 after the next Presidential election. This is their marquee policy and they know it is not going to work.
Citations/text of all Medicaid expansion trigger law provisions and text of all three Medicaid expansion constitutional amendments: How will proposed federal Medicaid cuts will mean coverage losses in these states? My new blog: ccf.georgetown.edu/2025/04/30/howโฆ
How Would Changes to Federal Medicaid Expansion Funding Impact People in โTriggerโ States and Those with Expansion Enshrined in State Constitutions? ccf.georgetown.edu/2025/04/30/howโฆ via @GeorgetownCCF
โThere would be no good way out of this for any state, no matter how rich or well-intentioned,โ Alker told me. โItโs simply too much money.โ latimes.com/business/storyโฆ
This will hit New Mexico especially hard.
Republican Medicaid cuts could shutter rural hospitals, maternity care wapo.st/4bxJosO