The Hidden Crisis: How Federal Medicaid Cuts Threaten Senior Care in America

In April 2025, the U.S. House of Representatives proposed a budget framework that includes $880 billion in federal spending cuts over the next decade, with a significant portion—$500 to $600 billion—targeted at healthcare programs like Medicaid . This move has sparked concern among healthcare advocates and state officials, who warn that such cuts could severely impact vulnerable populations, including seniors and individuals with disabilities .

Medicaid is a joint federal-state program that provides health coverage to over 70 million Americans, including 60% of all nursing home residents . Unlike Medicare, which primarily covers acute medical care, Medicaid funds long-term services such as in-home care, nursing home stays, and assistance with daily activities .

The proposed federal cuts would reduce the block grants allocated to states, forcing them to make difficult decisions about which services to maintain. This could lead to reduced access to essential care for seniors, increased financial strain on families, and potential closures of care facilities .

Compounding the issue is the rising cost of healthcare. Per capita health expenditures are projected to grow from $14,423 in 2023 to $21,927 in 2032, reflecting an average annual growth rate of 5.0% . At the same time, the federal minimum wage remains at $7.25 per hour, a rate unchanged since 2009 . This disparity between income and healthcare costs places additional pressure on low-income individuals and families, many of whom rely on Medicaid for support.

As the nation approaches the upcoming midterm elections, it’s crucial for voters to consider the implications of these proposed Medicaid cuts. Advocates urge citizens to engage with their representatives, participate in public forums, and vote for policies that protect and strengthen healthcare support for the aging population. After all, aging is a universal experience, and the need for accessible, affordable care affects us all.

Take Action:

• Call or email your local and state representatives.

• Share this blog with caregivers, seniors, and community advocates.

• Register to vote and support candidates who protect healthcare access.