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At today's House Rules Committee hearing, Rep. Chip Roy (R-TX) slammed the Senate GOP budget reconciliation bill.

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Transcript
00:00back. Mr. Langworthy. No questions, Madam Chair. Okay. Mr. Roy, you're recognized.
00:08I thank the chair. I want to thank both of the witnesses. I want to thank you for
00:18putting perspectives out there that I think are important to hear from both of you.
00:22I think I want to congratulate our chairman for sitting here.
00:30Being here, leading in, I think, a difficult position and situation. The fact is, I think
00:40this debate lays bare why the American people have lost confidence in Congress, because Congress
00:46has been failing them for decades, and in particular, in recent years. Both parties,
00:53both parties, are failing the American people. Here we have laid bare the problem. We have on the one
01:03hand, I believe, a responsible budget put forward through the work of our chairman on the Budget
01:11Committee and others that worked hard on it. That I believe credibly lays out a path to budget
01:20neutrality in what is supposed to be the process and reconciliation of dealing with tax policy and
01:26spending policy. I believe it is a credible place. We debated that independently. I don't need to go in
01:32the weeds on it, but it is broken down into spending reductions, tax policy that has revenue impact,
01:39and then assumed economic growth that makes up the balance. In roughly two trillion-ish in spending
01:46reductions, two and a half trillion in assumed growth for four and a half trillion of revenue
01:51impact on tax policy. Now, we're being criticized for assuming that growth, that two and a half percent
01:57growth, which is the sweet spot between historic three percent growth and the languishing 1.9 percent
02:04growth we've been in for a while. And I believe that was a responsible path forward. But my colleagues
02:10on the other side of the aisle want to politicize, very specifically politicize the fact that Medicaid is
02:17a part of that conversation and should be and must be. Because Medicaid is delivering subpar outcomes.
02:25Medicaid is not delivering health care that the American people deserve. Medicaid is costing
02:33infinitely more money. It has skyrocketed from $409 billion in 2019 to $618 billion in 2024, an increase
02:41in 51 percent in just five years. A third of the growth in Medicaid's 60-year history was in the last
02:47five years. It is going to be well over a trillion dollars by 2035. This has been recognized as a
02:55problem from both parties. And it's spitting out of control for a number of reasons, the majority of
03:01which stem from Obamacare's expansion population and the amount that we are now subsidizing the able-bodied,
03:09which is empirically true, that we have Medicaid expanded and going heavily to the able-bodied at
03:17the expense of the most vulnerable. We have rates at a 90 percent FMAP rate as compared with the
03:23vulnerable population of 50 to 70 percent, which is out of whack. And everybody actually knows this to
03:30be true. And yet my colleagues on the other side of the aisle want to specifically and purposely
03:35politicize this. They want to make this all about taking away Medicaid benefits. What we're trying to
03:41do is figure out how to make the balance, the budget of the United States get anywhere in the zip code of
03:45balance, which we haven't done for almost 30 years, 25 years. We have essentially money laundering schemes going on,
03:56where states have concocted these schemes using provider taxes and funneling the money, getting
04:02the federal dollars, using that money to then prop up and subsidize people who are here illegally,
04:08put it into their budget, and then they brag about it. California literally bragged about how they're
04:13scraping federal dollars on the back of this scheme. Joe Biden agreed that that was true. He was
04:20literally quoted as saying, it's a scam, Biden said. The states are gaming the system. That's
04:25former President Biden. So why can't my colleagues on the other side of the aisle just say, you know
04:30what, that's a problem. Let's come together and fix that problem. We can stop the process. We can fix it.
04:40I can go through a whole bunch of stuff on Medicaid, but my point is just there are legitimate solutions
04:46to Medicaid that would deal with improper payments of about a trillion dollars worth of Medicaid
04:51improper payment. We could make serious changes to how waste, fraud, and abuse occurs. We can end
04:59what is happening with respect to the money laundering scam. These are all things that we could do
05:04and save money and still try to retain what you need for the most vulnerable under the program. Now,
05:12I concur with the gentleman from Texas, my colleague from Texas, about where we should put most of these
05:17kinds of programs. I believe in civil society. I believe in state and local government. I believe
05:21we do better when we do it locally. I don't believe the federal government does it efficiently. I think
05:25that is borne out by looking at the numbers and including the subpar care. And I'm not just making
05:32that up. Study after study talking about the extent to which Medicaid delivers worse care than alternatives.
05:39Studies show Medicaid expansion caused enrollees to delay care because appointments were not available.
05:45A study in health affairs found Medicaid patients experienced higher hospital readmission rates
05:49than privately insured patients. I can go through study after study. But we also know the money is
05:53being wasted. The fact is, of course, we should reform it. Of course, we can make it better.
06:01Now, that's on my colleagues on the other side of the aisle.
06:03But I have to say something to my colleagues on this side of the aisle.
06:10You cannot have a one-way ratchet on tax cuts
06:15and ignore the spending side of the ledger. And my colleagues in the Senate, for sure,
06:22and some in the House on this side of the aisle, want precisely that.
06:26The Senate budget does that. The Senate budget is all tax cuts and no spending cuts.
06:37Now, we're told, trust us. There's a promise. There's a promise of spending cuts.
06:43Well, excuse me if I don't trust Washington. Excuse me if I don't take somebody at their word that,
06:49oh, trust me, we're going to cut something. Just vote for this next thing and we'll cut it. Trust me.
06:53I've never seen that happen. And by the way, the math still doesn't math.
07:01Because all I'm hearing from my Senate Republican colleagues is, well, maybe we can get a trillion
07:07dollars in savings. That's what I keep hearing. All right. If it's maybe a trillion dollars in
07:12savings and if the Senate plan, through the use of the policy baseline and additional tax cuts on top
07:18of the top policy baseline, is somewhere in the five and a half trillion dollar range total,
07:245.X trillion total spending, I'm sorry, tax cuts. Will somebody do the math for me?
07:32Because if you have a trillion dollars of spending reductions, which is what they're saying they
07:36hope to achieve, oh, trust us, even though we don't put anything in the bill requiring achieving the
07:42spending restraint. That by my math leaves a gap of four and a half trillion dollars,
07:48even if I take them at their word that they'll get a trillion dollars.
07:52So on our side in the House, we estimated two and a half trillion dollars of growth from tax cuts
08:00or associated with tax cuts and regulatory policy. Well, that to me leaves another two trillion dollar
08:05delta by my back of the envelope math. That's a problem. So to my Democratic colleagues, we have a,
08:15I believe, responsible House budget, even if you disagree with it, where we should sit down and figure
08:22out how to find savings, reform Medicaid to make it work better, eliminate improper payments, stop the
08:29gaming by California, stop the the Medicaid money laundering, get the dollars going to the people you
08:36actually wanted to go to. And to the gentleman from Massachusetts, make SNAP work better.
08:42Whatever we can do as a responsible government, as Congress, we can and should do that. And to my
08:48colleagues on this side of the aisle, stop making up math. Stop lying to the American people that you can
08:54just magically put something on a board and say, oh, it all pays for itself. It doesn't. Put pen to
09:00paper, get an eraser and a pencil and put it down on paper and come show me. And that message for me
09:05goes to the White House, to my Senate Republican colleagues and to the leadership on this side of
09:10the aisle. Come show me the math. But I can promise you, while I will vote for the rule out of respect for
09:16the chairwoman and the process, I will not vote for this bill because it is not responsible. Because the
09:24Senate instructions are what will carry the day. We all know that. So it's all a joke. Because
09:30there's nothing limiting, there's nothing limiting the spending on the Senate side. And there's nothing
09:36but high side on the tax side. Does Chairman have anything you want to add to that?
09:44I'm sitting here thinking about how I could add to it, but I can't. I can just say,
09:50uh, I, uh, appreciate you laying that out in an intellectually honest way
09:57because we are at an inflection point and this is going to be the last best opportunity.
10:04And it's at a point that if we don't do what was done in the House bill, as you
10:10uh, laid out, um, in this balanced budget resolution format, um, I think we're going to consign
10:19our children to a very different future than, than, than what we've experienced in this great nation
10:26of ours. So I, I appreciate that sobering, um, framing of this moment at this stage in this process
10:36and what's at stake. And I appreciate it very much. I think the chairman now you're back.
10:42Thank you, Mr. Roy. Mr. Norman, you're recognized. You know, I, I think this is a perfect example of,
10:50we just, we're, we're in two different.

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