October 01, 2025
Back to all stories

White House Memo: Repeal Could Trigger Nearly $192B in Healthcare Spending for Noncitizens, White House Says

A White House memo obtained by Fox News projects just over $192 billion in additional federal healthcare spending over the next decade if Democrats succeed in repealing the healthcare title of President Trump's Working Families Tax Cut Act, a demand the memo says Democrats have tied to keeping the government open for four weeks. The memo says the repeal would undo six provisions — including limits on Medicaid and Medicare funding for most noncitizens, an enhanced FMAP for emergency care for undocumented immigrants, and a so-called "California loophole" — and comes amid a broader fight over renewing enhanced ACA premium tax credits as lawmakers race to avert a government funding lapse around the Sept. 30 deadline.

Economy Politics Health

🔍 Key Facts

  • Central issue: whether Congress will renew the 'enhanced' ACA premium tax credits that lower marketplace premiums.
  • The dispute is tied to an imminent federal funding lapse around the Sept. 30 appropriations deadline (reported as happening 'next week').
  • CBS News featured Cynthia Cox of the Kaiser Family Foundation explaining potential ripple effects if the credits or related provisions are changed.
  • A White House memo obtained by Fox News projects just over $192 billion in federal healthcare spending over the next decade for noncitizens (described in Fox reporting as 'illegal immigrants') if Democrats' repeal demands are met.
  • The memo ties that projected cost specifically to repealing the healthcare title of President Trump's 'big, beautiful bill,' also called the Working Families Tax Cut Act.
  • The memo lists six specific provisions that would be undone, including ending Medicaid funding limits for most noncitizens, ending an enhanced FMAP for emergency care for illegal immigrants, ending Medicare funding for most noncitizens, and closing a so‑called 'California loophole.'
  • The memo says Democrats demand those repeals 'as a condition of keeping the government open for four weeks.'

📍 Contextual Background

  • Formal recruiting figures for all U.S. military services are typically announced after the federal fiscal year ends on September 30.

📰 Sources (2)

White House memo says Democrats' plan could spend $200B on healthcare for illegal immigrants
Fox News October 01, 2025
New information:
  • A White House memo obtained by Fox News Digital projects just over $192 billion in federal spending on healthcare for illegal immigrants over the next decade if Democrats' repeal demands are met.
  • The memo explicitly ties the projected cost to repealing the healthcare title of President Trump's "big, beautiful bill," also called the Working Families Tax Cut Act.
  • The memo lists six specific provisions that would be undone — including ending Medicaid funding limits for most non‑citizens, ending enhanced FMAP for emergency care for illegal immigrants, ending Medicare funding for most non‑citizens, and closing a so‑called 'California loophole' — and includes the phrase that Democrats demand repeal 'as a condition of keeping the government open for four weeks.'
Breaking down fight over health care tax credits as shutdown looms
https://www.facebook.com/CBSEveningNews/ September 26, 2025
New information:
  • Issue: Whether Congress will renew 'enhanced' ACA premium tax credits that lower marketplace premiums
  • Timing: The dispute is tied to an imminent federal funding lapse — described as happening 'next week' around the Sept. 30 appropriations deadline
  • Source: CBS News interview/segment featuring Cynthia Cox of the Kaiser Family Foundation explaining potential ripple effects