Given the continuing challenges related to Medicaid, including further cuts in a potential third reconciliation bill and H.R. 1’s ongoing impacts, Lutheran Services in America recently held a series of meetings with key House and Senate offices, including the Senate Finance, Senate HELP, House Energy and Commerce, and House Ways and Means, along with Montana, Nebraska, and Iowa offices.
What Did We Learn?
Initial implementation of work requirements is causing confusion. Staff noted that Nebraska’s rollout is underway, with Iowa, Montana, and Arkansas beginning soon. Given the challenges already arising in Nebraska, members of Congress and their staff are eager to stay informed, especially to understand ongoing impacts. Lutheran Family Services was featured, and Chris Tonniges was quoted, in the recent NBC News Story “New Medicaid Work Requirements Prompt ‘Extreme Mass Confusion’ in Nebraska,” which illustrates the current confusion.
A third reconciliation bill? Some staff believe a package is coming — likely to pass the House but face hurdles in the Senate — while others noted only early-stage discussion centered on tax policy. Committee jurisdiction and timing remain open questions.
The DOJ Olmstead statement is drawing concern. Multiple offices raised alarm about the statement’s implications for home- and community-based services (HCBS) and encouraged strong advocacy on the issue, including the use of strong evidence related to HCBS services.
Congress wants to hear from you. Nearly every office asked for the same things: personal stories, data — including estimates of coverage loss — and local news coverage showing district-level impact.
Take Action: Below are ways to leverage Here We Stand resources to defend Medicaid, including through the August recess:
→ Take action in two minutes. Use our turn-key advocacy tool to send a message to your lawmakers urging them not to make further cuts to Medicaid funding as part of any future budget reconciliation bill.
→ Schedule an in-district meeting. Members of Congress are home during the August recess. Our Action Guide walks you through the ask.
→ Share your impact story. How are Medicaid changes affecting your organization and the people you serve? Share your insights with us.
→ Explore the full toolkit. Messaging materials to lead the conversation in your community.
Sarah Dobson is Senior Director of Advocacy and Public Policy at Lutheran Services in America.