The U.S. House of Representatives passed a budget resolution on Tuesday evening that could significantly impact Medicaid-funded school services. The resolution narrowly passed with a 217-215 vote, with only one Republican, Rep. Thomas Massie of Kentucky, joining all House Democrats in opposition.
The Republican-led proposal includes $880 billion in cuts to Medicaid and $230 billion in cuts to the Supplemental Nutrition Assistance Program (SNAP)—reductions aimed at offsetting costs supporting former President Donald Trump’s tax plan. The decision sets the stage for significant funding reductions in school-based health services, which rely heavily on Medicaid support.
How Medicaid Cuts Will Impact Schools
For over 50 years, Medicaid has funded essential health services for low-income students and children with disabilities. School districts currently receive more than $7.5 billion in Medicaid funds, supporting services required under the Individuals with Disabilities Education Act (IDEA). This funding provides access to:
- Speech-language pathologists, audiologists, occupational therapists, school psychologists, and social workers
- School nurses and mental health professionals
- Specialized equipment that allows students with disabilities to participate in education fully
Additionally, 70% of students who receive mental health services do so through school-based programs, which Medicaid helps finance.
Threats to Student Well-being
Beyond direct health services, Medicaid plays a critical role in ensuring early screenings for learning disabilities, reducing absenteeism, and increasing access to healthcare—especially in rural areas. The proposed cuts could force states to raise taxes, shift funds away from K-12 education, or reduce Medicaid benefits, creating significant gaps in student support.
A group of Republican representatives voiced concerns before the vote, warning House Speaker Mike Johnson that slashing Medicaid would harm rural and predominantly Hispanic communities.
The resolution now moves to the Senate, where debate over its long-term consequences is expected to continue.
