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"Millions of Americans will see their healthcare, food, and education costs skyrocket, all so House Republicans can hand themselves and their wealthiest donors a huge tax break."
Just five weeks after pledging that they would not support the Republican Party's budget reconciliation package if it included cuts to Medicaid, six GOP lawmakers ultimately did just that on Thursday morning—and an analysis by government watchdog Accountable.US suggested they voted for the legislation to benefit themselves, despite the suffering it would cause for their constituents.
Along with cutting Medicaid for close to 14 million Americans and slashing nearly $300 billion in food assistance, the bill Republicans voted on in the early morning hours after weeks of deliberation included a tax policy proposal to expand a provision called Section 199A, which was previously introduced during the first Trump administration as part of the GOP's original law providing tax breaks for corporations and the wealthy.
The bill that passed in the House Thursday would raise the percentage of qualifying business income—such as rental income—people can deduct from their taxes from 20% to 23%. The provision is now set to expire at the end of the year.
If it's extended as written in the reconciliation bill, Accountable.US identified six Republican House members who could directly benefit from the expansion of the "pass-through deduction": Reps. Rob Bresnahan of Pennsylvania, Rob Wittman of Virginia, Jen Kiggans of Virginia, Young Kim of California, Juan Ciscomani of Arizona, and Jeff Van Drew of New Jersey.
Those six lawmakers were among the 12 who last month wrote to GOP leaders to say they represent "districts with high rates of constituents who depend on Medicaid" and to "reiterate our strong support for this program that ensures our constituents have reliable healthcare."
"We cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations," wrote the lawmakers last month. "Cuts to Medicaid also threaten the viability of hospitals, nursing homes, and safety-net providers, nationwide. Many hospitals—particularly in rural and underserved areas—rely heavily on Medicaid funding, with some receiving over half their revenue from the program alone."
"It is the peak of hypocrisy that the loudest and most vocal opponents of Medicaid cuts cowered in a matter of days in favor of a bill that will make the largest cuts to Medicaid in modern history—all to pay for lower taxes for the richest."
With the six Republican members poised to earn thousands more each year from the pass-through income deduction, those concerns appeared to have evaporated on Thursday.
"It is the peak of hypocrisy that the loudest and most vocal opponents of Medicaid cuts cowered in a matter of days in favor of a bill that will make the largest cuts to Medicaid in modern history—all to pay for lower taxes for the richest," said Tony Carrk, executive director of Accountable.US. "Even worse, those very members stand to financially gain from those tax cuts, while their own constituents lose their healthcare. Their votes aren't just a flip-flop; they are a betrayal to hardworking Americans everywhere who will be worse off because of this bill."
Accountable's Cash in Congress project found that for the 2023 tax filing year, the six members of Congress earned a combined $327,000 in pass-through income, according to financial disclosures.
Bresnahan stands to benefit the most from the extension of Section 199A, The American Prospectreported, as he earned at least $137,000 from rental properties. Out of the six lawmakers, he also represents the most Medicaid beneficiaries: 230,000.
Wittman reported $105,000 or more in pass-through rental income, and represents 125,000 people who receive Medicaid. Kiggans reported $50,000 and represents 130,000 people who use the healthcare program for low-income Americans.
All together, reported The American Prospect, the lawmakers represent 971,000 Medicaid beneficiaries who could be affected by a work requirement amendment that would go into effect at the end of 2026 and other provisions.
"Millions of Americans will see their healthcare, food, and education costs skyrocket, all so House Republicans can hand themselves and their wealthiest donors a huge tax break," said Accountable. "The only 'winners' in this bill are the billionaires that paid for it."
"You'd be hard pressed to find a more shameless example of congressional Republicans taking their cues from special interests at the cost of the American people than Chip Roy copying and pasting a letter directly from... special interests."
A letter that a group of 20 far-right House Republicans released earlier this week as part of a campaign in support of slashing Medicaid appears to have been authored by the head of a research institute with ties to the Koch network.
Politicoreported Friday that "digital metadata embedded in a PDF copy" of the letter that was circulated inside the House of Representatives "lists the author as Brian Blase, president of Paragon Health Institute."
InfluenceWatch notes that in 2021, Paragon received a nearly $2 million donation from Stand Together, "a right-libertarian funding organization that acts as the umbrella organization for the political network that is largely funded by right-leaning businessman and political donor Charles Koch."
Paragon recently urged federal policymakers to require states to conduct more frequent eligibility checks for Medicaid recipients in a purported effort to root out improper payments. Health policy advocates say such a change would make it more difficult for eligible enrollees to keep their Medicaid coverage.
The letter signed by Rep. Chip Roy (R-Texas) and other House Republicans aligns with Paragon's objectives, claiming that "political abuse" of Medicaid "is helping to bankrupt the federal government" and calling for "structural Medicaid reform" in the party's forthcoming reconciliation package.
Tony Carrk, executive director of the watchdog group Accountable.US, said in a statement that "you'd be hard pressed to find a more shameless example of congressional Republicans taking their cues from special interests at the cost of the American people than Chip Roy copying and pasting a letter directly from... special interests."
"This remarkably blatant kowtowing to conservative billionaires is a sad reflection of the congressional Republicans' willingness to make devastating cuts to Americans' healthcare to pay for lower taxes for the richest," said Carrk.
The letter was released as congressional Republicans grappled internally with how and how much to cut Medicaid as they seek to offset the massive projected costs of another round of tax breaks for the rich.
Earlier this week, as Common Dreamsreported, Rep. Don Bacon (R-Neb.) said he would not accept more than $500 billion in cuts to Medicaid over the next decade. Cuts of that magnitude would still be the largest in the program's history and would strip health coverage from tens of millions of people.
"These kinds of arrangements could allow for the Trump family to sell out the interests of the American people to the highest bidder," said Accountable.US.
A progressive watchdog organization on Wednesday urged key congressional committees to investigate U.S. President Donald Trump's involvement in a multimillion-dollar cryptocurrency deal that the group warned could open the door to corrupt and unlawful self-dealing.
In a letter to the top members of financial services and banking panels, Accountable.US president Caroline Ciccone called for a probe of a recent transaction between World Liberty Financial—the Trump family's crypto venture—and the Abu Dhabi-based crypto firm DWF Labs.
Ciccone argued that the deal, inked just before the Trump administration disbanded the Justice Department's crypto enforcement unit, "is emblematic of an unprecedented and rapidly worsening situation of the president of the United States using a web of Trump family crypto interests as his own personal mint while in office—interests that are largely out of public view and that almost certainly present conflicts against the public interest in many cases, including threats of foreign influence and to U.S. national security."
"These kinds of arrangements could allow for the Trump family to sell out the interests of the American people to the highest bidder, whether foreign or domestic," Ciccone warned. "This is a five-alarm fire for potential corruption that could leave everyday Americans worse off, and Congress should act accordingly."
A shady crypto firm tied to Russia wired $25M to a Trump family company—days before Trump shut down the DOJ team investigating them. Now he’s dining with top coin holders. What are they buying? accountable.us/watchdog-let...
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— Accountable.US (@accountable-us.bsky.social) April 30, 2025 at 8:40 AM
Earlier this month, DWF Labs announced the purchase of $25 million worth of tokens issued by the Trump family's World Liberty Financial, a deal that the Abu Dhabi-based firm vaguely described as a "strategic private transaction." The firm also announced plans for a "strategic expansion to the United States with a new office in New York City."
The New York Timesreported Tuesday that in a matter of months, World Liberty Financial "has erased centuries-old presidential norms, eviscerating the boundary between private enterprise and government policy in a manner without precedent in modern American history."
"Mr. Trump is now not only a major crypto dealer; he is also the industry's top policymaker," the Times noted. "So far in his second term, Mr. Trump has leveraged his presidential powers in ways that have benefited the industry—and in some cases his own company—even though he had spent years deriding crypto as a haven for drug dealers and scammers."
Ethics concerns surrounding Trump's foray into the cryptocurrency industry intensified last week after the official website for the president's meme coin, $TRUMP, announced that the top 220 investors in the coin would be granted "an intimate private dinner" with the president next month at his private golf club in Virginia. The top 25 holders will get a "VIP White House tour."
The website includes an interactive leaderboard that shows the list of people or entities holding $TRUMP coins and the current value of those holdings.
"Have Dinner with President Trump and the $TRUMP Community! Let the President know how many $TRUMP coins YOU own!" declared the invitation, which led two Democratic senators to call for an ethics probe.
The dinner invitation for top holders sent the coin's price surging by more than 50% last week as traders rushed to purchase the token to potentially gain access to the president. The flurry of transactions netted insiders nearly $900,000 in trading fees over just two days, according toCNBC.
"Never in U.S. presidential history has there been a more nakedly corrupt self-enrichment scheme," Accountable.US executive director Tony Carrk said in a statement last week. "The president is openly inviting investors to have a bidding war over who can buy the most access to him while he laughs all the way to the bank."
"There has never been a clearer case of a president using their office to put money in their pocket, or greater potential for special interests to buy an administration's favor that could threaten the public interest," Carrk added. "Donald Trump is trampling over every historical ethical norm to see how much corruption he can get away with before his allies in Congress flinch."