Congressional Republicans Remain Divided on Medicaid Funding as Committee Vote Nears

The cost of Medicaid, which covers 90 million low-income Americans, has doubled in 10 years, making it a key issue in spending negotiations.

Speaker of the House Mike Johnson (R-La.) in Washington on Feb. 25, 2025. Kayla Bartkowski/Getty Images

WASHINGTON—House Republicans have yet to reach an agreement on Medicaid spending as a possible committee vote on the matter is less than a week away.

Medicaid has emerged as a central issue in the budget reconciliation bill that will fund President Donald Trump’s agenda. After discussions over the last two days, members expressed sometimes conflicting views on how aggressively to trim the $900 billion program, the cost of which has nearly doubled over the last decade.