Executive Summary
On January 8, 2025, 134 members of the National Coalition for Gender Justice in Health Policy and allied organizations called on Congress to protect Medicaid from any cuts, such as per capita caps, block grants, work requirements, Medicaid expansion elimination or disincentives, FMAP or benefit cuts, or provider tax restrictions. Any cuts to Medicaid would leave millions of women and LGBTQI+ people with low incomes, and particularly women and LGBTQI+ people of color and with disabilities, without health care coverage and access. They would increase barriers to sexual, reproductive, and transgender health care access at a time when this essential care is less and less accessible. These cuts would jeopardize individuals’ health, lives, and economic security; widen gender and intersecting health inequities; destabilize the workforce by making it harder for people to stay employed; and catalyze deeply harmful economic losses for state economies.