The Republican Project 2025 has explicit plans to slash and burn Medicaid, a program that pays for the majority of long-term care for sick children and adults and nursing home stays (of all ages and for all lengths of stay, including elderly, and those permanently or temporarily disabled by accidents or illness).
Their plans include:
Eliminate nursing home coverage for middle-income Americans
Institute a work requirement
Kick sick people off care with lifetime caps and time limits (e.g. if you get sick or are disabled at a young age, or with an expensive illness like cancer… good luck!)
CMS should… eliminate obsolete mandatory and optional benefit requirements and, for able-bodied recipients, eliminate benefit mandates that exceed those in the private market. This should include flexibility to redesign eligibility, financing, and service delivery of long-term care to serve the most vulnerable and truly needy and eliminate middle-income to upper- income Medicaid recipients.
Project 2025, page 468
Don't be fooled by use of weasel words like "flexibility" — and remember that any time more gates are put up between needy Americans and care, it makes services less accessible, equitable, and actually costs more to run the programs than simply helping the people who need help.
Add work requirements and match Medicaid benefits to beneficiary needs
Project 2025, page 468
Requiring sick & disabled people to work is an intentional trap.
Add targeted time limits or lifetime caps on benefits to disincentivize permanent dependence. Project 2025, page 468
Lifetime limits and time limits will harm and even kill sick children, cancer patients, disabled and "able-bodied" elderly, and more.
Further reading
For more on what Medicaid is and why it's so important to fund fully & equitably, visit 10 Things to Know About Medicaid:
Medicaid is the nation’s public health insurance program for people with low income. The Medicaid program covers more than 1 in 5 Americans, including many with complex and costly needs for care. The program is the principal source of long-term care coverage for people in the United States. Medicaid also provides coverage for low-income Medicare beneficiaries to help pay for premiums, cost sharing, and services not covered by Medicare. Combined state and federal Medicaid spending comprised nearly one-fifth of all personal health care spending in the U.S., providing significant financing for hospitals, community health centers, physicians, nursing homes, and community-based long-term services and supports (Figure 2).
![A set of bar graphs depicting the effects of overtime on a worker's paycheck. At the top, a snippet from Project 2025 reads: "Attention: Republican Agenda. Specifically, employers...should be able to set a two or four week period over which to calculate overtime. This...would not require the employer to pay [employees] more for that same total number of hours of work during the entire period."
Underneath on the left is a set of green bars depicting Week 1, Week 2, Week 3, and Week 4.
In Week One, there is a darker shaded section pointing out that the worker has worked more than 40 hours and is eligible for overtime.
Week 2 is a little less than 40 hours, and the last two weeks are normal (40 hours).
At the bottom of this set of bars, a summary reads: "You're paid overtime for EVERY week over time, regardless of other weeks."
On the right, a set of red bar graphs depicting Week 1 through 4. In Week 1, the employee has clearly worked more than 40 hours based on the long bar, but there is no overtime shading.
Week 2 is less than 40, and Week 3 and 4 are both 40.
At the bottom of this set of bars, a summary reads: "Your employer will AVERAGE weeks together...and you won't get paid."
A Republican win in November means: Same hours. No overtime.
Learn more at Project 2025 Truth dot com](http://images.ctfassets.net/ud0fpafebkep/dfWezS2sNCp0RckQO0Qto/ac92619956f0630189e675554b35d053/image-8.png)
