Congress Eyes Medicaid Cuts

May 30, 2025

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Data Shows GOP Districts Back Medicaid Expansion

Congress is once again floating cuts to Medicaid in the latest budget proposal—a move that would gut healthcare for millions of Americans, especially in states and districts that rely on it the most. Many representatives backing these cuts serve districts where Medicaid isn’t just popular it’s essential. In fact, a majority of voters in vulnerable districts have expressed strong approval for Medicaid expansion, and polling shows bipartisan support for protecting the program.

Haystaq is preparing to roll out a new Medicaid model that will help campaigns, advocacy groups, and healthcare champions better understand where support is strongest. We looked at Republicans seated in some of the most competitive House districts in the country and calculated the average Medicaid support score in each. Here are the Cook-rated Republican toss-up districts and their average Medicaid support scores.

Our current Medicaid support score reflects more than just approval of the program as it exists but also the desire among respondents to expand Medicaid beyond its current levels. Voters scoring high on this metric aren’t satisfied with the status quo; they want to see broader access and stronger coverage. Positive scores indicate not only support for Medicaid, but also opposition to recent proposals to cut or restrict it.

This score can be applied to any geography such as a district, county, or state to strategically pressure elected officials to continue supporting Medicaid. By highlighting where support is strongest, campaigns and advocates can show that cutting Medicaid is not just bad policy, it is politically unpopular.

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