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:{:{During the House’s marathon markup of President Donald Trump’s historic budget bill, the Chairwoman of the powerful Rules Committee lashed out at Democrats for plainly describing the legislation’s sweeping consequences. Officially dubbed the “One Big, Beautiful Bill Act,” the measure narrowly passed in the early hours of Thursday by a 215–214 vote. }:

It removes $800 billion in funding from Medicaid, would lead to $535 billion in cuts to Medicare, and is projected to cause an estimated 8.6 to 13.7 million Americans to lose their health care. It will also add $3 trillion to the federal deficit—fueled by tax breaks heavily tilted toward the wealthy and the nation’s first-ever $1 trillion defense budget.}:

“I am concerned about what has been said about this bill and what it’s going to do,” Chairwoman Virginia Foxx (R-NC) told the members of her committee Wednesday night. “The extreme comments that have been made about it, and how I believe that it is scaring people out there in the country unnecessarily.”

“The words I’ve heard, particularly today, are ‘cut,’ ‘rip,’ ‘gut,’ ‘kill,’ ‘cruel,’ ‘stealing food,’ ‘losing coverage,’ ‘jammed through,’ ‘biggest transfer of wealth from vulnerable to wealthy people,’ ‘irresponsible’.”

“That is not the way we ought to be talking about this bill.”

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Many appear to disagree.

MSNBC columnist Michael A. Cohen, just after the bill passed Thursday morning, wrote: “What we do know about the legislation the GOP is calling the ‘One Big Beautiful Bill Act’ is genuinely terrifying.”

“What makes this situation even worse is that Republicans, from the president on down, are consistently lying about what the bill would do,” Cohen charged.

“The House Republican budget plan would eviscerate Medicaid and food assistance and shift resources toward the wealthiest Americans,” the Center for American Progress (CAP) warned ten days ago, adding that it “would implement the largest cuts to both Medicaid and the Supplemental Nutrition Assistance Program (SNAP) in history—kicking millions of Americans off their health insurance and taking food away from hungry children.”

“It would raise household electricity costs while trapping most middle-class and poor students in greater student loan debt to afford a higher education,” CAP’s Bobby Kogan, Senior Director for Federal Budget Policy wrote. “And it would make all these changes as a means to partially offset tax breaks that disproportionately go to the richest Americans, giving households in the top 0.1 percent a multihundred-thousand-dollar tax break on average while increasing deficits by trillions of dollars. Taken as a whole, the bill would add trillions of dollars to structural deficits despite these enormous cuts to critical services.”

“If enacted,” Kogan warned, “this would be the largest transfer of wealth from the poor to the rich in a single law in U.S. history.”

“Taken as a whole, this bill would harm Americans—particularly the most vulnerable people—and leave the country worse off. It would lead to preventable deaths by taking health care away from millions of people. It would worsen food insecurity by taking food away from the hungry, particularly kids.”

“Budgets showcase our morality because they force governments to decide how to prioritize limited resources. The House Republican budget plan would shift funding away from the sick and hungry and, instead, toward the wealthiest Americans.”

U.S. Rep. Veronica Escobar (D-TX) responded to Foxx, saying, “In other words, ‘please don’t call this bill what it is or say what it does’.”

Watch the video below or at this link.

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President Donald Trump’s firings at the Department of Health and Human Services included the entire office that sets federal poverty guidelines, which determine whether tens of millions of Americans are eligible for health programs such as Medicaid, food assistance, child care, and other services, former staff said.

The small team, with technical data expertise, worked out of HHS’ Office of the Assistant Secretary for Planning and Evaluation, or ASPE. Their dismissal mirrored others across HHS, which came without warning and left officials puzzled as to why they were “RIF’ed” — as in “reduction in force,” the bureaucratic language used to describe the firings.

“I suspect they RIF’ed offices that had the word ‘data’ or ‘statistics’ in them,” said one of the laid-off employees, a social scientist whom KFF Health News agreed not to name because the person feared further recrimination. “It was random, as far as we can tell.”

Among those fired was Kendall Swenson, who had led development of the poverty guidelines for many years and was considered the repository of knowledge on the issue, according to the social scientist and two academics who have worked with the HHS team.

The sacking of the office could lead to cuts in assistance to low-income families next year unless the Trump administration restores the positions or moves its duties elsewhere, said Robin Ghertner, the fired director of the Division of Data and Technical Analysis, which had overseen the guidelines.

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The poverty guidelines are “needed by many people and programs,” said Timothy Smeeding, a professor emeritus of economics at the La Follette School of Public Affairs at the University of Wisconsin. “If you’re thinking of someone you fired who should be rehired, Swenson would be a no-brainer,” he added.

Under a 1981 appropriations bill, HHS is required annually to take Census Bureau poverty-line figures, adjust them for inflation, and create guidelines that agencies and states use to determine who is eligible for various types of help.

There’s a special sauce for creating the guidelines that includes adjustments and calculations, Ghertner said. Swenson and three other staff members would independently prepare the numbers and quality-check them together before they were issued each January.

Everyone in Ghertner’s office was told last week, without warning, that they were being put on administrative leave until June 1, when their employment would officially end, he said.

“There’s literally no one in the government who knows how to calculate the guidelines,” he said. “And because we’re all locked out of our computers, we can’t teach anyone how to calculate them.”

ASPE had about 140 staff members and now has about 40, according to a former staffer. The HHS shake-up merged the office with the Agency for Healthcare Research and Quality, or AHRQ, whose staff has shrunk from 275 to about 80, according to a former AHRQ official who spoke on the condition of anonymity.

HHS has said it laid off about 10,000 employees and that, combined with other moves, including a program to encourage early retirements, its workforce has been reduced by about 20,000. But the agency has not detailed where it made the cuts or identified specific employees it fired.

“These workers were told they couldn’t come into their offices so there’s no transfer of knowledge,” said Wendell Primus, who worked at ASPE during the Bill Clinton administration. “They had no time to train anyone, transfer data, etc.”

HHS defended the firings. The department merged AHRQ and ASPE “as part of Secretary Kennedy’s vision to streamline HHS to better serve Americans,” spokesperson Emily Hilliard said. “Critical programs within ASPE will continue in this new office” and “HHS will continue to comply with statutory requirements,” she said in a written response to KFF Health News.

After this article published, HHS spokesperson Andrew Nixon called KFF Health News to say others at HHS could do the work of the RIF’ed data analysis team, which had nine members. “The idea that this will come to a halt is totally incorrect,” he said. “Eighty million people will not be affected.”

Secretary Robert F. Kennedy Jr. has so far declined to testify about the staff reductions before congressional committees that oversee much of his agency. On April 9, a delegation of 10 Democratic members of Congress waited fruitlessly for a meeting in the agency’s lobby.

The group was led by House Energy and Commerce health subcommittee ranking member Diana DeGette (D-Colo.), who told reporters afterward that Kennedy must appear before the committee “and tell us what his plan is for keeping America healthy and for stopping these devastating cuts.”

Matt VanHyfte, a spokesperson for the Republican committee leadership, said HHS officials would meet with bipartisan committee staff on April 11 to discuss the firings and other policy issues.

ASPE serves as a think tank for the HHS secretary, said Primus, who later was Rep. Nancy Pelosi’s senior health policy adviser for 18 years. In addition to the poverty guidelines, the office maps out how much Medicaid money goes to each state and reviews all regulations developed by HHS agencies.

“These HHS staffing cuts — 20,000 — obviously they are completely nuts,” Primus said. “These were not decisions made by Kennedy or staff at HHS. They are being made at the White House. There’s no rhyme or reasons to what they’re doing.”

HHS leaders may be unaware of their legal duty to issue the poverty guidelines, Ghertner said. If each state and federal government agency instead sets guidelines on its own, it could create inequities and lead to lawsuits, he said.

And sticking with the 2025 standard next year could put benefits for hundreds of thousands of Americans at risk, Ghertner said. The current poverty level is $15,650 for a single person and $32,150 for a family of four.

“If you make $30,000 and have three kids, say, and next year you make $31,000 but prices have gone up 7%, suddenly your $31,000 doesn’t buy you the same,” he said, “but if the guidelines haven’t increased, you might be no longer eligible for Medicaid.”

The 2025 poverty level for a family of five is $37,650.

As of October, about 79 million people were enrolled in Medicaid or the related Children’s Health Insurance Program, both of which are means-tested and thus depend on the poverty guidelines to determine eligibility.

Eligibility for premium subsidies for insurance plans sold in Affordable Care Act marketplaces is also tied to the official poverty level.

One in eight Americans rely on the Supplemental Nutrition Assistance Program, or food stamps, and 40% of newborns and their mothers receive food through the Women, Infants, and Children program, both of which also use the federal poverty level to determine eligibility.

Former employees in the office said they were not disloyal to the president. They knew their jobs required them to follow the administration’s objectives. “We were trying to support the MAHA agenda,” the social scientist said, referring to Kennedy’s “Make America Healthy Again” rubric. “Even if it didn’t align with our personal worldviews, we wanted to be useful.”

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One House Republican appeared to suggest that the tens of millions of kids on free and reduced school lunch programs are moochers who should have to work to earn food.

During a Tuesday interview on CNN, host Pamela Brown interviewed Rep. Rich McCormick (R-Pa.) about President Donald Trump's new announcement that he was imposing a 90-day pause on all disbursements of federal money until agencies could ensure spending is line with Trump's agenda. The vaguely worded funding freeze — which is expected to begin at 5 PM Eastern Time and is already being challenged in court — could impact everything from Medicaid funding to food stamps and possibly even federal funding for school lunches.

McCormick — who joined Brown from Trump's Doral resort in Florida where House Republicans are having a retreat — defended Trump's decision, and suggested that kids at risk of losing their school lunch benefits could instead learn the "value" of hard work.

"You talk about school lunches? Hey, I worked my way through high school. I don't know about you, but I've worked since I was 13 years old, picking berries in a field before we had child labor laws that precluded that," said McCormick, who is 56 years old and was born well after President Franklin Delano Roosevelt introduced child labor laws in 1938. "You're telling me that kids who stay at home, instead of going to work at Burger King, McDonalds during the summer, should stay at home and get their free lunch instead of going to work? I think we need to have a top-down review."

Brown pushed back, saying his remarks were "not necessarily a fair assessment" of the roughly 30 million kids who depend free or reduced lunches in school. McCormick argued that he was "absolutely not" agreeing with Brown's characterization of his statement as saying poor kids are "just sitting at home and not working." However, he argued that the funding freeze gives agencies a chance to see how federal money was being spent.

"Who can actually go and actually produce their income?" McCormick countered. "I mean how many people got their start in fast food restaurants when they were kids, versus just a blanket rule that gives all kids lunches in high school who are capable of going out and actually getting a job and doing something that makes them have value? Thinking about their future instead of thinking about how they're going to sponge off of the government when they don't need to?"

The Georgia Republican's remarks drew strong rebuke from journalists, commentators and various experts on social media. Texas Democratic Party executive committee member Micah Erfan tweeted that Republicans wanted "tax cuts for the rich paid for by eliminating school lunches for the poor." Council on Foreign Relations member Laurie Garrett responded by posting an excerpt of Charles Dickens' "The Christmas Carol" in which Ebenezer Scrooge says he hopes the needy will die in order to "decrease the surplus population." TV producer Brittany Valenzuela quote-tweeted the clip of McCormick and wrote: "If you’re arguing against providing free FOOD FOR OUR YOUTH, you need to seek help."

"What a p—k," tennis legend Martina Navratilova tweeted. "What about 10 year olds??? They are supposed to WORK FOR THEIR LUNCH!!!!?????"

Louisiana Public Service Commissioner Davante Lewis responded to McCormick by asserting the "Republican plan" was to "send your kindergarten[er] to afford breakfast and lunch at school." Globe and Mail editorial writer Peter Scowen called the Georgia Republican's comments part of "the new American war on empathy."

"Children are lazy and should start picking berries to pay for their school lunches is a take," author Shannon Watts tweeted.

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