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Happening now · act nowFacts verified August 5, 2026

Protect Medicaid

What this is

Ready-to-use scripts to tell Congress and your state to protect Medicaid as the 2025 law's cuts and new work requirements roll out. For the bill itself, look up HR 1.

What this is, in plain language

The basics

The 2025 budget law, HR 1, cuts about 911 billion dollars from federal Medicaid spending over ten years. It also adds paperwork to prove you're working and eligibility checks twice a year. A lot of what happens next is decided by states, which run Medicaid day to day and are already testing the new rules.

Medicaid covers about one in five Americans, about 4 in 10 kids, and most people in nursing homes. It pays for the home care that lets disabled and older people live at home instead of an institution.

The Congressional Budget Office estimates 10 million more people uninsured by 2034. About 7.5 million of that comes from the Medicaid and CHIP cuts, and the rest from changes to ACA marketplace coverage. The number climbs over time: about 1.3 million in 2026, 5.2 million in 2027, reaching 10 million by 2034.

Because states run the program, your governor and state legislators matter as much as Congress.

Who this reaches

Who this affects

Medicaid is not other people's program. It is the hospital in a rural county, the aide who helps a grandparent stay in her home, the coverage for about 4 in 10 babies born in America. When a state has to cut Medicaid, everyone who counts on it feels it, and so do the hospitals and nursing homes that keep whole communities running.

Good to know
  • The federal cuts are in HR 1, already law. The biggest coverage changes start January 1, 2027, and some states are testing work requirements now in 2026.
  • Medicaid funds home and community based services. Those are optional under the law and often the first thing states cut.
  • CBO estimates 10 million more uninsured by 2034, and analysts warn rural hospitals are especially at risk.
The bill summaries in this tool are written to be neutral. This page is different. It's an advocacy page and it takes a side. Here's the reasoning and here are the sources. Read them and decide for yourself.
Optional, and it saves you the most time

Fill in your reps' names

Enter your address and we'll drop your representatives' names into every script below, federal and state. Your address is used once to find your districts and is not stored. It goes to the U.S. Census geocoder to match your address to a district.

You can skip this. The scripts work as they are, with blanks for you to fill in yourself.

Federal: your 2 senators and your representative

Call script~45 sec

5 spots to fill inAdd a line about your own family if you can. Staffers remember those.
Hi, my name is [YOUR NAME] and I'm a constituent from [YOUR TOWN, ZIP].

I'm calling about the Medicaid cuts in the 2025 budget law.

I'm asking [SENATOR / REPRESENTATIVE LAST NAME] to protect Medicaid, to oppose deeper cuts, and to restore what was taken, especially the home and community based services families depend on.

[My family relies on Medicaid, and losing it would change our whole life.]

Can you tell me where [SENATOR / REPRESENTATIVE LAST NAME] stands on protecting Medicaid? Thank you for your time.

Email subjectif you'd rather not call

Please protect Medicaid for families in our state

Email messagepaste into the message box

5 spots to fill inAdd a line about your own family if you can. Staffers remember those.
Dear [SENATOR / REPRESENTATIVE LAST NAME],

I'm a constituent from [YOUR TOWN, ZIP], and I'm writing about the Medicaid cuts in the 2025 budget law.

The law cuts about 911 billion dollars from federal Medicaid spending over ten years and adds paperwork to prove you're working plus twice-a-year eligibility checks. The Congressional Budget Office estimates 10 million more people uninsured by 2034, with about 7.5 million of that from the Medicaid and CHIP cuts. Medicaid covers about one in five Americans, about 4 in 10 kids, and most people in nursing homes, and it pays for the home care that keeps disabled and older people out of institutions. Analysts also warn rural hospitals are at serious risk.

[My family relies on Medicaid because ...]

I'm asking you to protect Medicaid, to oppose any further cuts, and to work to restore what was taken, especially home and community based services.

Please tell me where you stand. I'd appreciate a written response.

Thank you,
[YOUR NAME]
[YOUR TOWN, ZIP]

Find them: call the U.S. Capitol switchboard 202-224-3121, or look up your address at congress.gov/members.

State: your legislators and governor

Call script~1 min

5 spots to fill inAdd a line about your own family if you can. Staffers remember those.
Hi, my name is [YOUR NAME] and I'm a constituent from [YOUR TOWN, ZIP].

I'm calling about Medicaid. The 2025 federal law cut Medicaid and pushed big decisions onto states, and our state is deciding how to carry them out.

I want [STATE LEGISLATOR / GOVERNOR LAST NAME] to protect Medicaid coverage here, to fully fund home and community based services, and to keep new paperwork from pushing eligible people off.

[My family depends on a Medicaid waiver and community services to live at home.]

Where does [STATE LEGISLATOR / GOVERNOR LAST NAME] stand on protecting Medicaid? Thank you.

Email subjectif you'd rather not call

Protect Medicaid and home and community based services in our state

Email messagepaste into the message box

4 spots to fill in
Dear [TITLE AND LAST NAME],

I'm a constituent from [YOUR TOWN, ZIP], writing about Medicaid here at home.

The 2025 federal budget law cut Medicaid and left states to decide much of what happens next. Our state runs Medicaid, so decisions about work requirements, eligibility checks, and home and community based services land right here.

I'm asking you to protect Medicaid coverage, to fully fund home and community based services so disabled and older people can stay in their homes, and to keep new paperwork from pushing eligible families off the program.

Please tell me where you stand. I'd appreciate a written response.

Thank you,
[YOUR NAME]
[YOUR TOWN, ZIP]
Paste and share

Text or DM to one person

Heads up. The 2025 budget law cuts about 911 billion dollars from federal Medicaid spending over ten years, and the CBO expects 10 million more people uninsured by 2034, with the biggest changes starting January 2027. Medicaid covers about 4 in 10 kids in America, most nursing home residents, and the home care that keeps disabled people out of institutions, and it keeps rural hospitals open. Please call your members of Congress at 202-224-3121 and your state officials, and ask them to protect Medicaid. Two minutes.

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