Rep. French Hill has spent a decade in Congress voting against the health care interests of his own constituents. He voted to repeal the Affordable Care Act outright with no replacement, voted for the American Health Care Act that the CBO said would leave 24 million Americans uninsured, voted against protecting people with pre-existing conditions, voted against allowing Medicare to negotiate lower prescription drug prices, and championed Medicaid work requirements that stripped 18,000 Arkansans of their coverage. Furthermore he voted for the "One Big Beautiful Bill" that cuts up to $1 trillion from Medicaid and then told constituents he had "never voted to end Medicare or Medicaid." His votes are particularly damaging in Arkansas, where Medicaid expansion cut the uninsured rate nearly in half and 30 of 47 rural hospitals are already at risk of closing. Meanwhile, insurance industry PACs have been among Hill's top donors every cycle.
Hill Voted For The American Health Care Act, Which CBO Said Would Leave 24 Million Uninsured. According to Talk Business & Politics, "All four of Arkansas' representatives voted for the bill, which passed 217-213." The CBO estimated the AHCA would result in 23 million more uninsured Americans and cut $834 billion from Medicaid over ten years. In Arkansas, the Protect Our Care Coalition estimated 180,900 Arkansans would lose coverage, including 133,300 on Medicaid. [Talk Business & Politics, 5/4/17]
Hill Voted Against The Protecting Americans With Preexisting Conditions Act. According to GovTrack, Hill was among 183 Republicans who voted against H.R. 986 on May 9, 2019. The bill would have blocked Trump administration guidance that the Kaiser Family Foundation said "eliminates the requirement to demonstrate comparable protections for people with high health risks." Only 4 Republicans voted in favor. [GovTrack, 5/9/19]
Hill Voted Against Allowing Medicare To Negotiate Prescription Drug Prices. According to the Arkansas Democrat-Gazette, Hill voted against H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act, which "would have allowed the federal government to negotiate with drug companies for lower prices" and "set limits on prices so that they don't exceed 120% of the average price charged in several other Western democracies." The bill passed 230-192 with only two Republicans voting in favor. [Arkansas Democrat-Gazette, 12/15/19]
Hill Endorsed Medicaid Work Requirements That Resulted In 18,000 Arkansans Losing Coverage. According to Arkansas Advocates for Children and Families, "the implementation of the policy [...] resulted in more than 18,000 Arkansans losing their health insurance in the last few months of 2018" while "only around 4,000 Arkansas Works enrollees have gone from not working to working." Hill and the entire Arkansas delegation had jointly praised the policy, stating, "Encouraging people who can work to find employment is a common-sense policy with a track record of success." A federal judge later blocked the requirements, ruling they violated the Medicaid Act's core purpose. [Arkansas Advocates for Children and Families, 3/26/19]
Hill Voted For The "One Big Beautiful Bill" That Cuts Up To $1 Trillion From Medicaid. According to the Arkansas Times, Hill and "Arkansas's congressmen all vote to slash their constituents' health insurance" when H.R. 1 passed 215-214 on May 22, 2025. The bill includes an estimated $715 billion to $1 trillion in Medicaid cuts over ten years, with the CBO estimating it could result in nearly 14 million additional uninsured Americans. [Arkansas Times, 7/3/25]
Hill Voted For A GOP Health Plan That Let ACA Premium Subsidies Expire, Doubling Costs For Millions. According to NBC News, the Senate rejected both the Democratic proposal to extend enhanced ACA premium subsidies and a Republican alternative (H.R. 6703) that Hill voted for, which expanded Health Savings Accounts but did not extend the subsidies. The result, enhanced ACA premium subsidies expired, and "premiums set to spike" for roughly 22 million Americans who benefited from the credits. [NBC News, 12/11/25]
Insurance Was Hill's Third-Largest Contributing Industry. According to OpenSecrets, the insurance industry contributed $335,900 to Hill during the 2024 cycle alone -- $276,500 of which came from PACs, not individual donors. Insurance ranked behind only securities and investment ($839,595) and commercial banks ($354,750) among his top industries. [OpenSecrets, Viewed 3/24/26]
Constituents Told Hill His Votes Were Personally Devastating. According to KUAR, Camille Richoux, a UAMS student and protest organizer from Camden, said at a demonstration outside Hill's Little Rock office: "'I am from Camden in rural, southern Arkansas. I grew up without health insurance and know exactly what it's like to be one health issue away from family devastation. My mom actually filed bankruptcy when I was younger.'" [KUAR, 5/8/17]
Arkansas's Medicaid Expansion Had Cut The State's Uninsured Rate Nearly In Half. According to Gallup, Arkansas had "the second-largest reduction in its adult uninsured rate since the Affordable Care Act went into effect, down over 12 percentage points since 2013" -- from 22.5% to 10.2%. Hill repeatedly voted to unwind the law that made this possible. [Gallup, 2/8/17]
30 Of Arkansas's 47 Rural Hospitals Are At Risk Of Closing. According to the Arkansas Democrat-Gazette, a July 2025 report found 30 of Arkansas's 47 rural hospitals at risk of closing, with 11 at "immediate risk." The Arkansas Center for Health Improvement noted that "Arkansas's expansion of Medicaid in 2014, which resulted in reduced uncompensated care costs for hospitals, has helped it avoid the rural hospital closings experienced in neighboring states." Hill's votes to cut Medicaid threaten this stability. [Arkansas Democrat-Gazette, 7/13/25]
Hundreds Of Constituents Confronted Hill At A Town Hall Where Audience Members Yelled "You Sold Us Out." According to the Arkansas Democrat-Gazette, hundreds of people attended a joint town hall with Hill and Sen. Tom Cotton at the Embassy Suites in Little Rock on April 17, 2017. Hill was "shouted down several times by people who said he was not answering a question" about health care. [Arkansas Democrat-Gazette, 4/18/17]