Rep. Virginia Foxx has spent two decades in Congress voting against nearly every major effort to expand health care access — from children's health insurance to Medicare drug price negotiation to the Affordable Care Act. She voted to repeal the ACA, voted for a replacement bill that the CBO said would leave 23 million more Americans uninsured and gut protections for people with preexisting conditions, voted against the Inflation Reduction Act that capped insulin at $35 for seniors, and voted for the One Big Beautiful Bill Act that is projected to cause 200,000 North Carolinians to lose Medicaid coverage. Meanwhile, more than 650,000 North Carolinians have enrolled in Medicaid expansion — the very program Foxx has fought to undermine — including tens of thousands in her own district's rural mountain communities.
Foxx Said Americans Had "More To Fear" From Health Care Bill Than From "Any Terrorist." According to Talking Points Memo, "Rep. Virginia Foxx (R-NC) warned on the House floor that health care reform poses a greater threat to American freedoms than 'any terrorist right now in any country.'" Foxx stated, "'I believe we have more to fear from the potential of that bill passing than we do from any terrorist right now in any country.'" [Talking Points Memo, 11/2/09]
Foxx Voted For The American Health Care Act, Which CBO Said Would Leave 23 Million More Americans Uninsured. According to GovTrack, Virginia Foxx voted Aye on H.R. 1628, the American Health Care Act of 2017, on May 4, 2017. The CBO estimated the bill would increase the number of uninsured by 23 million by 2026. [GovTrack, 5/4/17]
Foxx Voted Against Requiring Negotiated Prescription Drug Prices For Medicare Part D. According to On the Issues, Foxx voted No on requiring negotiated prices for Medicare Part D in 2007. [On the Issues, Viewed 2/16/26]
Foxx Voted Against The Inflation Reduction Act, Which Capped Insulin At $35 And Allowed Medicare To Negotiate Drug Prices For The First Time. According to KFF, the Inflation Reduction Act created the Medicare Drug Price Negotiation Program, capped insulin copays at $35 per month for Medicare beneficiaries, and capped out-of-pocket drug costs at $2,000 per year. No Republican voted for the legislation. [KFF, Viewed 2/16/26]
Foxx Voted Against Adding Millions Of Children To SCHIP Eligibility. According to On the Issues, Foxx voted No on expanding the Children's Health Insurance Program and No on adding 2 to 4 million children to SCHIP eligibility. [On the Issues, Viewed 2/16/26]
Foxx Voted For The One Big Beautiful Bill Act, Which CBO Projects Will Increase The Uninsured By 10 Million Nationally. According to the AHA, CBO projected the OBBBA would increase the number of uninsured by 10 million by 2034, including 7.5 million who would lose Medicaid coverage. Foxx voted Yea on the bill, which passed the House 215-214 on May 22, 2025. [AHA News, 7/21/25]
Foxx Had Previously Cosponsored Legislation Requiring Medicaid Recipients To Work 80 Hours Per Month Or Lose Coverage. According to North Carolina Health News, Foxx cosponsored legislation requiring Medicaid recipients ages 19-55 to work or participate in community service for 80 or more hours monthly, with potential disenrollment for non-compliance over three months. [North Carolina Health News, Viewed 2/16/26]
Foxx Voted Against Giving Mental Health Full Equity With Physical Health. According to On the Issues, Foxx voted No on requiring mental health parity with physical health coverage in 2008. [On the Issues, Viewed 2/16/26]
Foxx Voted Against Regulating Tobacco As A Drug. According to On the Issues, Foxx voted No on regulating tobacco as a drug in 2009. [On the Issues, Viewed 2/16/26]
More Than 650,000 North Carolinians Enrolled In Medicaid Expansion In Less Than 18 Months — Coverage Foxx Has Fought To Undermine. According to Governor Josh Stein's office, 650,000 newly eligible North Carolinians gained access to affordable health care through Medicaid expansion as of April 2025, reaching the state's two-year enrollment target in half the projected time. New enrollees filled more than 6.1 million prescriptions for heart health, diabetes, seizures, and other illnesses. [NC Governor, 4/9/25]
The Assembly Reported That North Carolinians On The Private Market Are Already Seeing Higher Insurance Premiums For 2026 As A Result Of The Law Foxx Supported. According to The Assembly, "Some people on the private market are already seeing higher health insurance premiums, and thousands who rely on Medicaid could lose coverage" as a result of the One Big Beautiful Bill Act. [Assembly, 12/5/25]