Just five weeks after pledging that they would not support the Republican Party's budget reconciliation package if it included cuts to Medicaid, six GOP lawmakers ultimately did just that on Thursday morning—and an analysis by government watchdog Accountable.US suggested they voted for the legislation to benefit themselves, despite the suffering it would cause for their constituents.
Along with cutting Medicaid for close to 14 million Americans and slashing nearly $300 billion in food assistance, the bill Republicans voted on in the early morning hours after weeks of deliberation included a tax policy proposal to expand a provision called Section 199A, which was previously introduced during the first Trump administration as part of the GOP's original law providing tax breaks for corporations and the wealthy.
The bill that passed in the House Thursday would raise the percentage of qualifying business income—such as rental income—people can deduct from their taxes from 20% to 23%. The provision is now set to expire at the end of the year.
If it's extended as written in the reconciliation bill, Accountable.US identified six Republican House members who could directly benefit from the expansion of the "pass-through deduction": Reps. Rob Bresnahan of Pennsylvania, Rob Wittman of Virginia, Jen Kiggans of Virginia, Young Kim of California, Juan Ciscomani of Arizona, and Jeff Van Drew of New Jersey.
Those six lawmakers were among the 12 who last month wrote to GOP leaders to say they represent "districts with high rates of constituents who depend on Medicaid" and to "reiterate our strong support for this program that ensures our constituents have reliable healthcare."
"We cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations," wrote the lawmakers last month. "Cuts to Medicaid also threaten the viability of hospitals, nursing homes, and safety-net providers, nationwide. Many hospitals—particularly in rural and underserved areas—rely heavily on Medicaid funding, with some receiving over half their revenue from the program alone."
"It is the peak of hypocrisy that the loudest and most vocal opponents of Medicaid cuts cowered in a matter of days in favor of a bill that will make the largest cuts to Medicaid in modern history—all to pay for lower taxes for the richest."
With the six Republican members poised to earn thousands more each year from the pass-through income deduction, those concerns appeared to have evaporated on Thursday.
"It is the peak of hypocrisy that the loudest and most vocal opponents of Medicaid cuts cowered in a matter of days in favor of a bill that will make the largest cuts to Medicaid in modern history—all to pay for lower taxes for the richest," said Tony Carrk, executive director of Accountable.US. "Even worse, those very members stand to financially gain from those tax cuts, while their own constituents lose their healthcare. Their votes aren't just a flip-flop; they are a betrayal to hardworking Americans everywhere who will be worse off because of this bill."
Accountable's Cash in Congress project found that for the 2023 tax filing year, the six members of Congress earned a combined $327,000 in pass-through income, according to financial disclosures.
Bresnahan stands to benefit the most from the extension of Section 199A, The American Prospectreported, as he earned at least $137,000 from rental properties. Out of the six lawmakers, he also represents the most Medicaid beneficiaries: 230,000.
Wittman reported $105,000 or more in pass-through rental income, and represents 125,000 people who receive Medicaid. Kiggans reported $50,000 and represents 130,000 people who use the healthcare program for low-income Americans.
All together, reported The American Prospect, the lawmakers represent 971,000 Medicaid beneficiaries who could be affected by a work requirement amendment that would go into effect at the end of 2026 and other provisions.
"Millions of Americans will see their healthcare, food, and education costs skyrocket, all so House Republicans can hand themselves and their wealthiest donors a huge tax break," said Accountable. "The only 'winners' in this bill are the billionaires that paid for it."
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