¶ Overview
After signing a performative letter urging GOP leadership not to make cuts to Medicaid or the Affordable Care Act, Barrett voted for a bill that would kick 17 million Americans off their health insurance, including nearly 12 million Americans off of Medicaid. An estimated 24,000 Michiganders could lose their health insurance as a result of his vote.
¶ After Urging GOP Leadership Not To Pursue Large Cuts To Medicaid, Barrett Voted To Kick 12 Million Americans Off Their Health Insurance
¶ January 2025: Barrett Implored GOP Leadership Not To Pursue Large Spending Cuts To The Affordable Care Act, Medicaid Or SNAP
January 2025: Barrett Implored GOP Leadership Not To Pursue Large Spending Cuts To The Affordable Care Act, Medicaid Or SNAP. According to Politico, "House Republicans in competitive districts warned GOP leaders Thursday: We could lose our seats if you gut Obamacare to pay for a massive border, energy and tax bill. A group of about a dozen centrist Republicans delivered the message in a meeting with GOP Whip Tom Emmer (R-Minn.) and other senior lawmakers, according to four Republicans familiar with the meeting who were granted anonymity to speak frankly. GOP members are already concerned that they’re poised to lose their trifecta and a swath of seats in the 2026 midterms — they worry GOP efforts to pare back the Affordable Care Act could pour fuel on the fire. Centrists conveyed to leaders in the meeting that they needed to ‘learn the lessons’ from the last GOP attempt to undercut the Affordable Care Act in 2017, according to one of the Republicans. The party went on to lose more than 40 House seats in the 2018 midterms. Instead, they argued, Republicans needed to embrace the GOP’s role as the working class party. Leaders would counter that message by slashing programs working Americans rely on, they said. GOP lawmakers in the room included Rep. Brian Fitzpatrick (Pa.), Young Kim (Calif.), David Valadao (Calif.), Andrew Garbarino (N.Y.), Tom Barrett (Mich.) and Don Bacon (Neb.)." [Politico, 1/23/25]
¶ February 2025: Barrett Voted For The House Republican Budget Resolution, Which Set up Future Cuts to Medicaid
2/25/25: Barrett Voted For The FY 2025 Budget Framework That Included $2 Trillion In Cuts, Raised The Statutory Debt Limit By $4 Trillion, And Required House Committees To Recommend Legislation That Would Implement Trump’s Agenda. In February 2025, Barrett voted for, according to Congressional Quarterly, “the concurrent resolution that would recommend a budget for fiscal 2025 and budget levels through fiscal 2034. The resolution would assume minimum savings of $1.5 trillion over 10 years and 2.6 percent economic growth over the same period. It also would require the statutory debt limit to be raised by $4 trillion. It also would authorize the House Ways and Means Committee to increase deficits by $4.5 trillion over 10 years to extend the 2017 tax cuts and implement new tax cuts proposed by the White House. It also would provide instructions for the budget reconciliation process through which separate legislation could be considered and passed in the Senate via a simple majority vote. The measure would deliver instructions to 11 House committees to report legislation that would implement President Donald Trump’s agenda, such as expanding tax cuts and bolstering border security and immigration enforcement. The committees would be required to report their legislative recommendations to the House Budget Committee by March 27, 2025. It also would set a $2 trillion target for the spending cuts to be submitted to the House Budget Committee. The resolution also would stipulate that if the committees don't reach that target, the Ways and Means’ reconciliation instructions to increase the deficit by a maximum of $4.5 trillion would be decreased by the amount the other committees come in below the target. Similarly, it would stipulate that Ways and Means could increase the deficit above the $4.5 trillion level by the amount of savings the committees achieve above the $2 trillion target.” The vote was on passage. The House passed the resolution by a vote of 217 to 215. [House Vote 50, 2/25/25; Congressional Quarterly, 2/25/25; Congressional Actions, H. Con. Res. 14]
- HEADLINE: "House Republican Budget Takes Away Health Care, Food Aid To Pay For Expanded Tax Cuts For Wealthy" [Center on Budget and Policy Priorities, 2/21/25]
- New York Times Reported The $880 Billion In Cuts Required By The Republican Budget Proposal Would Have To Come From Medicaid, Medicare, Or CHIP. According to the New York Times, "The budget resolution itself is silent on whether Congress cuts Medicaid, which provides health coverage to 72 million poor and disabled Americans. But it instructs the House Energy and Commerce Committee, which has jurisdiction over the program, to cut spending by $880 billion over the next decade. If the committee can’t save at least that much, the entire effort could be imperiled because of the special process Congress is using to avoid a Senate filibuster. Ten other committees have their own instructions to follow, though none have been assigned with cutting nearly as much. It’s not so simple as finding the cuts elsewhere. The special process, known as budget reconciliation, means Republicans will have to find all $880 billion from within the Energy and Commerce Committee’s jurisdiction. That leaves them with fewer options than one might think. […] If Republicans want to avoid major cuts to Medicaid, the largest pot of available money is in the other big government health insurance program: Medicare. […] Even if the committee cuts everything that’s not health care to $0, it will still be more than $600 billion short. The committee could also save around $200 billion by eliminating the Children’s Health Insurance Program, but that option has not been raised by the budget committee or anyone in House leadership. […] Even if all of these cuts, revenues and rule cancellations from outside health care can pass muster, the committee will still be left with hundreds of billions of dollars to cut to hit its goal. Mathematically, the budget committee’s instructions mean the committee would need to make major cuts to either Medicare, Medicaid or both." [New York Times, 2/25/25]
¶ May 2025: Barrett Voted for House Republicans’ Budget Bill, Which Would Kick Millions of People Off Medicaid to Give Tax Breaks to Billionaires
2025: Barrett Voted For The FY 2025 Budget Reconciliation Bill That Included $3.8 Trillion In Tax Cuts Offset By $1.5 Trillion In Spending Reductions To Programs Like Medicaid And The Supplemental Nutrition Assistance Program. In May 2025, Barrett voted for, according to Congressional Quarterly, “the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. […] It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000.” The House passed the bill by a vote of 215 to 214. [House Vote 145, 5/22/25; Congressional Quarterly, 5/22/25; Congressional Actions, H.R. 1]
- The House GOP Budget Bill Was Estimated To Increase The Uninsured Population By 8.6 Million By 2034. According to CNN, “The Medicaid and Affordable Care Act provisions in the package could result in 8.6 million more people being uninsured in 2034, according to an early CBO estimate released by Democratic lawmakers. That number is expected to grow with the latest changes.” [CNN, 5/28/25]
- HEADLINE: “House Republican Budget Takes Away Health Care, Food Aid To Pay For Expanded Tax Cuts For Wealthy” [Center on Budget and Policy Priorities, 2/21/25]
- HEADLINE: “CBO: 7.6 Million Would Go Uninsured Under GOP Medicaid Bill” [Politico, 5/13/25]
¶ July 2025: Barrett Voted for The Final Republican Reconciliation Bill, Which Would Kick 17 Million Americans Off Their Health Coverage
July 2025: Barrett Voted For The Senate FY 2025 Budget Reconciliation Bill That Extended $4 Trillion In Expiring Tax Cuts, Added New Tax Breaks, Appropriated $448 Billion In Defense, Border, And Immigration Enforcement Funding, Increased The SALT Deduction To $40,000, And Cut Medicaid And Other Social Programs To Offset The Costs. In July 2025, Barrett voted for, according to Congressional Quarterly, the “motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The House passed the bill by a vote of 218 to 214. [House Vote 190, 7/3/25; Congressional Quarterly, 7/3/25; Congressional Actions, H.R. 1]
- HEADLINE: "At Least 17 Million Americans Would Lose Insurance Under Trump Plan" [Washington Post, 7/1/25]
- The Congressional Budget Office Estimated That 11.8 Million People Would Become Uninsured As A Result Of The Medicaid Cuts In Republicans’ Reconciliation Bill. According to the Washington Post, "The bill, which narrowly passed the Senate on Tuesday and now heads back to the House, would effectively accomplish what Republicans have long failed to do: unwind many of the key components of the ACA, President Barack Obama’s signature domestic achievement, which dramatically increased the number of Americans with access to health insurance. To start, the Congressional Budget Office estimated that the Senate version of the bill would result in 11.8 million more uninsured in 2034, mostly because of Medicaid cuts, compared with 10.9 million if the House version became law." [Washington Post, 7/1/25]
¶ Barrett Was “Proud” to Have Voted for The Final Version of Republicans’ Reconciliation Bill
July 2025: Barrett Was “Proud” To Have Voted For The Final Version Of Republicans’ Reconciliation Bill And Claimed It Would Make A “Real Difference” In Americans Lives. According to a press release from Rep. Tom Barrett’s office, "Congressman Tom Barrett (MI-07) issued the following statement after voting to pass H.R. 1, the One Big Beautiful Bill Act, sending it to President Donald Trump's desk to be signed into law. ‘Today, I joined my colleagues in passing the One Big Beautiful Bill to prevent the largest tax hike in American history, lower energy costs, and permanently secure our border – all while protecting the integrity of Medicaid and SNAP for those who need them most. This legislation will create thousands of good-paying jobs to boost our economy, ensure the middle class keeps more money in their pockets, and invest in a brighter future for America. ‘It also delivers on promises made to hardworking families and businesses in Michigan: no tax on tips or overtime, permanent tax relief, an expanded Child Tax Credit, and more. I'm proud to send this pro-growth policy to President Trump's desk and look forward to the real difference it will make in the lives of people across the country.’" [Press Release – Rep. Tom Barrett, 7/3/25]
¶ An Estimated 131,000 Michiganders In The seventh Congressional District Relied On Medicaid For Health Insurance
131,300 Michiganders In The 7th Congressional District Relied On Medicaid. According to the Center for American Progress,
[Center for American Progress, Viewed 7/14/25]