Updated February 28, 2025: Fixed an error in the text of the brief.
The House Republican Caucus released a 50-page list of possible mandatory spending and tax proposals from the House Budget Committee that may be included in budget reconciliation legislation. Changes to Medicaid represent a significant portion of the savings identified in the document. The list also targets other health and human services programs, including the Social Services Block Grant (SSBG), Temporary Assistance to Needy Families (TANF), and Affordable Care Act (ACA) health insurance subsidies.
This brief outlines health and human services proposals and discusses their potential impact on states. However, detailed policy information is often limited in the House document. It provides a menu of options intended as a starting point. The final selection and form of these proposals will be determined by reconciliation instructions and subsequent legislation. Cost savings included in the document are estimates and likely will change based on policy specifics and whether multiple proposals in a single area are included.