Brett Guthrie chairs the Committee of Energy and Commerce, which has been tasked with finding $880B in spending cuts under a House budget resolution.

"Medicaid is the lion. It's the behemoth. It is eating up our budgets, it is growing astronomically," State Rep. Jason Nemes (R-Middletown) said.

The House Republican drive to significantly reduce federal spending on medical care has placed the party on a collision course with the health needs of its own constituents.

In 2010, Democratic President Barack Obama’s Affordable Care Act gave states the right to expand their Medicaid programs to include the “working poor” — able-bodied adults who earned up to 138% of the federal poverty line. In Kentucky, that means up to $20,784 a year for an individual or $43,056 for a household of four.

Finally, after the U.S. House passed a GOP-backed budget resolution that would cut $880 billion from the agency overseeing Medicaid, Rep. Andy Barr said that adults who can work “need to get off the taxpayer rolls and then they need to get into private health insurance and private employment.”

To pay for it, the GOP is looking at making deep cuts with a large chunk expected to come from Medicaid. Beshear said the cuts will hurt the most rural parts of Kentucky. “Medicaid is the driving force behind rural health care. Without it, we'll see ...

A bill that would create a Kentucky version of the Department of Government Efficiency, known as DOGE, is moving forward in the state Capitol.

In its 60 years, Medicaid has swelled from a small program that provided medical care to poor Americans receiving cash assistance to the largest source of public insurance. It covers 72 million Americans, about one-fifth of the population. It pays for about half of all nursing care in the United States, and 40 percent of all births.

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Of the continental states, Kentucky ranks fifth, beaten out only by Mississippi, West Virginia, Alabama and New Mexico. Kentuckians received $16. 3 billion in Medicaid spending in fiscal year 2023 ...