May 14, 2025
By Natalie Williams, Senior Manager, Legislative Affairs
and Megan Mortimer, Manager, Legislative Affairs
Any proposal to dramatically slash Medicaid was bound to start some political fires. But the one that's been ricocheting through the House in recent months is proving too hot for some lawmakers — and the Academy's advocacy is part of the reason.
On our own as well as in strong coalition with the Group of Six, the Primary Care Collaborative, the Partnership for Medicaid and the Modern Medicaid Alliance, the AAFP has steadily pressed Congress not to strip billions from Medicaid as an offset for the Trump administration’s proposed tax cuts.
It's a good message — one that gathers strength when you add your voice.
In fact, as lawmakers accelerate their activity, it’s crucial that AAFP members join our call to action.
Last weekend, the House Energy and Commerce Committee released a budget reconciliation package that included nearly $715 billion in proposed reforms to Medicaid. These changes include onerous patient burdens such as work requirements, increased cost-sharing and more frequent eligibility checks — all potential barriers to care access.
We, along with numerous other societies within the house of medicine, have already shared our serious concerns about this package and the impacts it will have on patient care. As we put it in testimony this past winter, “If we want to truly improve our nation’s health to optimize longevity, it must start with investing in Medicaid and other safety-net supports — not cutting them.”
Our Medicaid advocacy centers on the simple idea that Congress must protect this essential program, not diminish it. The majority of AAFP members treat patients covered by Medicaid (in which some 72 million Americans are enrolled), and the program is central to ensuring the greatest possible access to primary care.
With that idea in mind, and with several related AAFP policy priorities in play, the Academy is in touch with key lawmakers in the House Energy and Commerce Committee, among other committees. We are working to shape legislation beneficial to family medicine practices and patients.
We are conducting this advocacy via direct outreach and meetings with representatives, as well as continued engagement through our coalitions. AAFP members have also written sharp opinion columns for newspapers in their home states, visible to their members of Congress, their fellow constituents and their patients. As we pointed out with the link above, it is so important for more AAFP members to echo these urgent messages.
Medicaid serves patients across the lifespan — as family physicians do. By providing health care coverage to patients who often lack other options, Medicaid helps family physicians work with patients through a wide array of wellness goals and health challenges, including preventive care, mental health concerns and chronic-disease management. This is complex labor, and it demands robust federal support. The Academy is committed to securing that partnership.
Disclaimer
The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. All comments are moderated and will be removed if they violate our Terms of Use.