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Elon Musk and Vivek Ramaswamy meet with Republicans to talk spending cuts. They face a steep climb.

Дата публикации: 06-12-2024 04:32:16



The House’s sweeping budget plan to advance President Donald Trump’s agenda could result in steep cuts to Medicaid and food stamps, putting a key group of Republicans in a politically difficult position ahead of a potential vote next week in the narrowly divided chamber.
There are a handful of House Republicans who represent parts of the country where sizable shares of the populations receive government assistance from Medicaid and the Supplemental Nutrition Assistance Program, according to an NBC News analysis of the most recently available Census Bureau data.
The lawmakers from the 10 GOP-held districts with the highest percentages of Medicaid or SNAP beneficiaries span the ideological and geographical spectrum. They include members from deep-red districts, such as Speaker Mike Johnson of Louisiana and veteran Rep. Hal Rogers of Kentucky, as well as those in competitive battlegrounds, such as Reps. David Valadao of California, Rob Bresnahan of Pennsylvania and Monica De La Cruz of Texas.
While Democrats represent more districts with the largest portions of adults receiving federal assistance, the prevalence of constituents who are dependent on anti-poverty programs in GOP-held seats could test Republicans who are on the hunt for steep spending cuts and under pressure to implement Trump’s agenda. And it underscores why the issue has become such a sticking point in the budget talks.
“There’s a little bit of frustration among those of us who do have large Medicaid populations that we have not been engaged [by leadership] as much as some of the members of the Freedom Caucus in this process,” Rep. Nicole Malliotakis, R-N.Y., told NBC News. 
“And therefore, we are undecided on how we’re going to be voting,” she continued, referencing the GOP holdouts with concerns about Medicaid. 
The House’s budget blueprint for a tax, energy and immigration package, which the Budget Committee advanced last week, calls for at least $1.5 trillion in spending cuts. That includes $880 billion in spending cuts from the House Energy and Commerce Committee, which has Medicaid in its jurisdiction, and $230 billion from the House Agriculture Committee, which oversees SNAP.
House GOP leaders are aiming to bring the Trump-endorsed budget resolution to the floor next week and, if it passes, committees will begin drafting the policy portion of the package.
Medicaid covers health care costs for those with low incomes or disabilities, while SNAP provides food benefits to low-income Americans. Republicans are considering imposing work requirements and other policies that would raise the bar to access benefits for Medicaid, as well as attempting to eliminate instances of waste, fraud and abuse, in an attempt to find savings and pay for other pieces of their agenda.
Census data lumps its estimates of people receiving coverage from Medicaid in with those receiving other means-tested public health coverage. But Medicaid, which had more than 72 million enrollees as of October, is far and away the most popular type of means-tested public health coverage.
While Trump has insisted that Medicaid won’t be “touched,” a Republican lawmaker on a key committee and a senior GOP aide said they believe it’s mathematically difficult to achieve the goal of $2 trillion in savings without making substantial cuts to Medicaid and SNAP. Party leaders may seek to sell any changes to Medicaid policy as an attempt to reform the program rather than one to slash benefits. Still, even under that scenario, there could be an impact on services.
Valadao, who represents a key swing seat for Republicans that could determine control of the House in 2026, has been one of the loudest voices in the House GOP warning against potential cuts to Medicaid and SNAP.
In Valadao’s San Joaquin Valley district in central California, 38.5% of adults under the age of 65 use Medicaid or other forms of means-tested public coverage as their sole form of health care. That makes Valadao the member of Congress who represents the second-highest number of Medicaid recipients in the entire country, only behind Democratic Rep. Ritchie Torres of New York.
Meanwhile, 27.9% of households in the agriculture-rich district, which is majority Hispanic, receive food stamps.
Valadao — along with Maltiotakis, Bresnahan and De La Cruz — signed on to a Congressional Hispanic Conference letter this week urging Johnson to protect Medicaid benefits, Pell grants and food stamps. All of them represent districts with large Hispanic populations. Valadao and Bresnahan, who is from a district where 19% of households receive SNAP benefits, are already getting hit with attack ads back home over the possibility of Medicaid cuts.
The Congressional Hispanic Conference is expected to meet with Johnson when they return to Washington next week. Johnson and other members of his leadership team have spent this week, with the House on recess, working the phones to see where members stand and win over potential holdouts, according to Rep. Don Bacon, R-Neb., who has been on the receiving end of such calls. 
The issue also presents a unique dilemma for House Energy and Commerce Chair Brett Guthrie, R-Ky., who would be in charge of finding the requisite cuts. He represents a district with the 14th-largest share of Medicaid recipients of any Republican: 18.3% of non-elderly adults in his district rely on Medicaid or means-tested coverage as their only form of health care.
Guthrie’s office didn’t respond to a request for comment. But he, too, has been working to assuage the concerns of skeptics: Malliotakis said she was scheduled to speak with Guthrie on Thursday as she seeks more clarity about their plans.
If the final bill fails to include substantial cuts, the wafer-thin GOP majority risks losing decisive votes from conservatives who have made that a condition for their support.
Rep. Chip Roy, R-Texas, a Freedom Caucus member, said his decision on the bill will hinge on: “Are we going to get enough cuts, and how real are those?”
“You’ve got these Medicaid work requirements, potential SNAP work requirements,” Roy told NBC News, describing several spending cuts on which Republicans can agree. “And then there’s other issues that are a little bigger that we got to go wrestle with.”
Congressional Democrats plan to make potential Medicaid cuts a centerpiece of their attacks on the GOP budget plan. 
“They’re cutting your Medicaid. Why? Why would they do that? Tax breaks for the rich,” Senate Minority Leader Chuck Schumer, D-N.Y. told NBC News. “It sort of hits them on both sides. And it has the advantage not only of being true, but the American people believe it.”
He argued that the impacts will be felt beyond the beneficiaries.
“The Medicaid cuts cut right to the bone,” Schumer said. “Medicaid cuts affect poor people … It also affects middle-income people, because about a third of all Medicaid goes to elderly people in assisted living and nursing homes."
This story first appeared on NBCNews.com. More from NBC News:
Senate adopts $340 billion budget blueprint for Trump's agenda after marathon 'vote-a-rama'
McConnell announces he will not seek re-election in Senate floor speech
Elon Musk becomes a new power center at CPAC
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Tech billionaire Elon Musk and conservative activist Vivek Ramaswamy on Thursday began in-person discussions with congressional Republicans about ways they could slash federal spending and regulations once President-elect Donald Trump takes office.

Trump has tasked Musk and Ramaswamy with issuing recommendations to overhaul the federal budget and bureaucracy — a goal that many Republicans say they agree with, but also one that presidents and Congresses under both parties, as well as divided governments, have repeatedly failed to deliver on.

Musk and Ramaswamy traveled to Capitol Hill for a series of meetings with House and Senate members. It was their first such trip since their appointment by Trump as outside advisers, heading up a commission called the Department of Government Efficiency. DOGE is also the name of an internet meme and a cryptocurrency.

“This is a brainstorming session,” House Speaker Mike Johnson, R-La., told reporters between meetings. He said the talks are “laying the groundwork” for what lawmakers will do next year.

They have their work cut out for them.

Trump oversaw an increase in deficits during his first term, even before the Covid-19 pandemic. In his 2024 campaign, he promised to preserve two of the most expensive parts of the budget — Social Security and Medicare — beyond “cutting waste and fraud.” He also called for trillions of dollars in additional tax breaks on tips and overtime, in addition to extending his 2017 tax cuts, which would all add to the debt. And most congressional Republicans are determined to continue increasing military spending, another large slice of the pie.

Politics

Musk, one of the world’s wealthiest people, has potential leverage over congressional Republicans because of his willingness to spend some of his vast fortune on politics, and his recent proximity to Trump. As recently as Sunday, the Tesla and SpaceX CEO has repeatedly warned Republicans to get in line behind Trump’s priorities or else face a primary challenge in 2026.

Great @DOGE meeting with @elonmusk, @VivekGRamaswamy, @SpeakerJohnson, and X-Æ-12 pic.twitter.com/WRXQoz7MGY

— Mike Lee (@BasedMikeLee) December 5, 2024

Officially, though, the roles for Musk and Ramaswamy are only advisory. They won’t be in the government and instead will be sending recommendations to the Trump White House, with a deadline of July 4, 2026.Musk’s newfound political influence follows his campaigning for Trump over the summer and fall. His super PAC, America PAC, spent more than $152 million to boost Trump and other Republicans, with much of the money coming from Musk and his friends, according to disclosure reports filed with the Federal Election Commission. Musk also held events for Trump in swing state Pennsylvania and turned X, which he owns, into a megaphone for pro-Trump views.

Ramaswamy, a former biotech executive, ran in the Republican primary for president and lost to Trump before later endorsing him.

Musk has repeatedly faced questions about potential conflicts of interest in advising on the federal budget. SpaceX is a major federal contractor, including with the Defense Department and NASA. And, according to Ramaswamy, one of their potential targets is a $6.6 billion loan to electric vehicle maker Rivian Automotive, a competitor to Tesla. Musk has not said how or if he plans to resolve those conflicts.

One lawmaker, Sen. Thom Tillis, R-N.C., said Thursday it was too early to anticipate the priorities for cuts but that loosening regulation by administrative action and through Congress would be a good place to start.

“There are tens of billions of dollars in regulatory relief that are on the table now,” Tillis said.

The U.S. budget was $6.1 trillion in fiscal year 2023, according to the Peterson Foundation.

Still, Tillis called the Thursday conversation an “organizational meeting” — akin to “an engagement meeting I’d have with a client.”

Speaking to reporters in between meetings, Musk reiterated his support for ending tax credits to encourage electric vehicle sales, aligning with Republicans who are eying cuts to clean energy funding.

“I think we should get rid of all credits,” he said in response to a reporter’s question about tax credits for electric vehicles. (Musk has previously said that EV credits help Tesla’s competitors.)

Musk said little else as he walked through the Capitol’s corridors with one of his children. The billionaire was followed so closely by Capitol Hill reporters, he said, “It’s like there’s ambient press.”

Once DOGE is established, Musk and Ramaswamy will have a small office of 10 to 12 staffers under the executive office of the president who will work closely with the Office of Management and Budget, a source involved in the effort told NBC News.

They will also have individuals within each federal department and agency who operate as DOGE liaisons, the source said. Musk and Ramaswamy are seeking individuals with business backgrounds with an interest in “gutting bureaucracy” to fill those roles. “A lot of these folks will be lawyers or have previous experience at that agency,” the source said.

Musk has shown a willingness to consider cuts to some of the federal government’s most popular programs including Social Security. On Monday, he shared a post on X from Sen. Mike Lee, R-Utah, advocating an overhaul of Social Security into something like individual retirement accounts. “Interesting thread,” Musk wrote.

Thursday morning, Musk met with incoming Senate Majority Leader John Thune, R-S.D., while Ramaswamy met separately behind closed doors with a group of 15 Senate Republicans for a little over an hour. In the afternoon, they met with a larger group of House and Senate members.

Leaving the meeting with Ramaswamy, senators told NBC News that it was a positive conversation and consisted of an “exchanging of ideas,” as Sen. Eric Schmitt, R-Mo., and Sen. Shelley Moore Capito, R-W.Va., put it. But they would not divulge specific policies discussed inside.

A source familiar with the private meeting in the afternoon told NBC News that the gathering turned into an “open mic session” featuring “an airing of grievances from House members who want Elon and Vivek to solve all their problems.”

Some Democrats have expressed interest in working with Musk and Ramaswamy to reduce spending and regulations. Rep. Ro Khanna, D-Calif., posted on X on Thursday that Congress should model its efforts on a World War II-era committee led by then-Sen. Harry Truman.

“Let’s look to the Truman Committee and ensure Americans get their money’s worth with DOD spending,” he wrote.

While GOP efforts to reduce the size of the federal government and end wasteful spending are not new, senators did not offer much in terms of how this effort would be different or possibly more successful.

“You’re way too ahead,” Tillis said when asked about budget deficits.

Leaving the meeting, Ramaswamy also declined to answer reporters’ questions.

In the 2024 election, Republicans won a 53-vote Senate majority and a paper-thin House majority of 220-215. Those slim margins could give Democrats some influence over the outcome, and some of them mock the new Musk-led effort as a punchline.

“DOGE is not real. Just because someone says there is now a department of so and so does not mean the actual department now exists,” said Rep. Brendan Boyle, D-Pa., the ranking member of the Budget Committee.

“Republicans are total hypocrites when it comes to deficit and debt. … Trump added more to the national debt than any president in American history,” Boyle continued. “So I have seen this movie before. I have absolutely no doubt that if Trump is able to ram through a second round of his tax cuts, then it will explode the national debt.”

Veterans of past failed debt-reform efforts, including the Obama-era bipartisan “super committee” of 2011, doubt the DOGE will be more successful unless it’s willing to take on sacred cows.

“If past is prologue, the DOGE faces an uphill climb. It’s not yet clear what authority or reach the DOGE has, but managing the federal budget cannot be done through talking points,” said Zach Mallove, a lobbyist who worked as a policy aide to Sen. Patty Murray, D-Wash., when she co-chaired the super committee.

Mallove said lawmakers will have to accept some “political pain” for it to be meaningful. “In the end, the math just doesn’t add up: with a $1.7 trillion annual discretionary budget, you cannot cut $2 trillion without tapping into the country’s social safety net.”

This article first appeared on NBCNews.com. Read more from NBC News here:

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