After a marathon session on Wednesday night, Republican lawmakers in the U.S. House of Representatives are poised to pass a massive tax and spending bill which President Trump has said he wants to sign on July 4. On Tuesday, the U.S. Senate passed their version of the bill after a tie-breaking vote from Vice President JD Vance. The bill passed by the Senate is expected to add $3.3 trillion to the federal deficit, according to the Congressional Budget Office, while making steep cuts to Medicaid benefits to help pay for trillions of dollars in tax cuts. 

In Oregon, roughly 1 in 3 residents get their insurance through Medicaid. According to Oregon Health Authority’s Medicaid director Emma Sandoe, an estimated  100,000 to 200,000 Oregonians could lose their Medicaid benefits under the bill. On Wednesday, Gov. Tina Kotek and former Gov. John Kitzhaber, the architect of Oregon’s state Medicaid program, urged U.S. Rep. Cliff Bentz of Oregon’s 2nd Congressional District to vote against the bill. Bentz is the sole Republican member of Oregon’s Congressional delegation and roughly 40% of the residents in his district are enrolled in the Oregon Health Plan.

Democratic U.S. Rep. Maxine Dexter of Oregon’s 3rd Congressional District is a pulmonary and critical care physician by training who testified against the bill on Capitol Hill and introduced amendments to it which were blocked by Republicans. She joins us to talk about the impacts of the Medicaid cuts for Oregonians and the new work and recertification requirements for Medicaid enrollees. “Think Out Loud” also made multiple attempts to request Rep. Bentz to participate in this conversation.