Confronted in Washington, D.C., by a colleague last week in the hours before the House of Representatives began voting on President Donald Trump’s federal budget bill, U.S. Rep. Gabe Evans defended the legislation, saying that it does not cut Medicaid, the low-income health program.
The exchange, caught on camera, shows Rep. Greg Casar, a Texas Democrat, approaching Evans, the Fort Lupton Republican, and delivering a letter from one of Evans’ constituents concerned about Medicaid cuts.
“She wanted to chat with you about reconsidering,” Casar said.
In response, Evans said the bill does not cut Medicaid: “We’re not cutting Medicaid,” he said. “Medicaid spending goes up under this.”
?MAJOR BREAKING: Democrat Rep. Greg Casar just confronted Republican Rep. Gabe Evans in the Capitol rotunda – after Evans’ own constituent wrote Casar for help. Evans LIED saying the bill won’t cut Medicaid. Casar called out the bullshit to his face. ABSOLUTE HERO. pic.twitter.com/4Jfd3D3UIu
— CALL TO ACTIVISM (@CalltoActivism) July 2, 2025Evans voted for the bill, as did his three fellow Colorado Republican members of Congress, Reps. Lauren Boebert, Jeff Crank and Jeff Hurd. Trump signed the bill into law Friday.
But Evans appears to be the only Colorado representative claiming that the law does not cut Medicaid — and he’s made the claim repeatedly. But while federal spending on Medicaid will increase each year over the next decade, the amount each year will now be far lower than previously set under prior law.
In fact, the law will cut federal spending on Medicaid by about $1 trillion over the next 10 years, according to the most recent analysis from the Congressional Budget Office, a nonpartisan, independent agency that is part of the legislative branch and tasked with providing lawmakers with economic analysis. The CBO analysis shows that 11.8 million people across the country will lose health insurance by 2034 because of the law.
That represents a 15% cut in the Medicaid spending compared with what was planned before the law, according to an analysis from KFF, a health policy research group.
Colorado will be among the hardest hit states, according to KFF. Federal spending on Medicaid in Colorado will be cut by about 16%, or about $14 billion, over the 10-year period, the analysis found.
Edwin Park, a public policy research professor and expert in Medicaid financing at Georgetown University, called Evans’ statement “misleading and incorrect.”
“This is an old, misleading argument that has been used by Congressional Republicans for decades to try to justify spending cuts including to Medicaid,” Park said in an email. “If federal Medicaid spending is less than what would otherwise have been spent, that is certainly a cut relative to prior law.”
Park used a salary metaphor: If someone is promised a salary of $50,000 in their first year and $55,000 in their second year and the employer gives them only $51,000 in the second year, that is a cut relative to what was promised even though the second year’s salary is $1,000 higher than the first year’s.
Delanie Bomar, a spokesperson for Evans, defended the congressman in a written statement Tuesday.
“The facts are clear: under Republicans’ plan, Medicaid spending continues to rise year after year,” she said. “This law targets illegal immigrants and individuals who refuse to meet work requirements — not law-abiding citizens or the vulnerable people Medicaid was created to protect. Congressman Evans is fighting to eliminate fraud, waste, and abuse so Medicaid can do what it was meant to do: serve seniors, pregnant women, children, and people with disabilities in our community.”
The law will reduce Medicaid spending largely by making it more difficult for people to remain enrolled.
The largest cut to Medicaid spending will be the result of new work requirements, estimated by KFF at $326 billion over the 10-year period. The law requires states to create systems to verify that adults on Medicaid have worked, volunteered or attended school for at least 80 hours in the month before enrollment.
Most people on Medicaid are already working, studying, volunteering or are exempt from the requirements, studies show. But, based on the experience of other states that have instituted work requirements, millions of qualified people are expected to lose Medicaid coverage this way because of the added paperwork required to stay enrolled.
Colorado estimates the state will have to spend about $57 million per year to create the work requirement verification system. There is no evidence that work requirements actually get more people to work, studies have shown.
Another large cut to Medicaid, estimated at $191 billion, will come from a provision in the law that limits states’ ability to claim additional federal Medicaid funding by requiring hospitals to pay a “provider tax.” States have used the revenue from this tax to get more matching funding for Medicaid from the federal government, benefiting hospitals.
Other cuts will come from ending Biden-era initiatives to streamline enrollment in Medicaid, increasing how often adults must requalify and limiting how much states can pay to hospitals and nursing facilities for care, among other provisions.
Lawmakers paired the cuts to Medicaid spending and similarly deep cuts to a program that provides food assistance to poor families with tax cuts that benefit the wealthiest Americans most.
Health care experts warn the Medicaid cuts could lead to tens of thousands of preventable deaths.
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Finally We wish PressBee provided you with enough information of ( Gabe Evans claims the Republican tax and spending bill he voted for doesn’t cut Medicaid. That’s misleading. )
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