On February 25 and April 10, 2025, Bill Huizenga provided deciding votes for the budget resolution that demanded $880 billion from the committee overseeing Medicaid; on May 22 his vote carried the House bill 215 to 214; and on July 3 his yes vote went to the final law, a law with a work requirement that federal Medicaid officials expect to remove 2.3 million people from the rolls in fiscal 2027.
Medicaid's rolls in Michigan's 4th District included 10,800 people with disabilities in 2025, and across Michigan 2,994 people sat on 2026 waiting lists for Medicaid-funded care at home.
Bill Huizenga's Votes on Medicaid for People With Disabilities
- Huizenga Voted for Work Rules That Reach Disabled Healthy Michigan Members Unless an Exemption Fits, in 2025. The House version that Bill Huizenga voted for on May 22, 2025 passed by a single vote, 215 to 214, and on July 3, 2025 he voted for the final text as well, which carried 218 to 214. The law's 80-hour monthly work or activity rule covers the expansion adult group, Healthy Michigan in this state, and applies unless an exemption fits, among them section 1614 disability and a person "with a physical, intellectual or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living." CMS, writing the implementing rule, projects that "enrollment would be reduced by 2.3 million individuals in FY 2027." An expansion adult whose disability fits neither the daily-living test nor the section 1614 definition needs another exemption or the hours, and under CMS's rule Michigan checks exemptions against information it already holds and can ask people for more.
- Huizenga's Two Deciding Budget Votes Demanded $880 Billion From Medicaid's Committee and Left Optional Home Care Exposed. Each version of H.Con.Res. 14 survived by a two-vote margin with Huizenga's yes, first on February 25, 2025 at 217-215, then on April 10, 2025 at 216-214; a switch by him alone would have forced a failing tie either time. The resolution ordered the panel that writes Medicaid law to "reduce the deficit by not less than $880,000,000,000" over ten years. Services delivered at home or in the community, which let disabled people avoid living in institutions, are "largely an optional Medicaid benefit," and policy experts cited by the Bipartisan Policy Center expect the law to "slow or reverse recent HCBS expansion efforts" as states absorb its cuts.
What Bill Huizenga's Medicaid Votes Mean for Michiganders With Disabilities
- Medicaid covers 10,800 disabled residents of Huizenga's district. In 2025, by KFF's figures, 10,800 enrollees with disabilities were on Medicaid in Michigan's 4th District, part of a district caseload of 164,500. For many of them Medicaid's home and community-based services are what make it possible to live at home, the very benefit the Bipartisan Policy Center calls "more vulnerable to reductions" when budgets tighten.
- 2,994 Michiganders were already on Medicaid home care waiting lists before the cuts. The 2026 KFF survey of state waiver programs found 2,994 Michiganders waiting for Medicaid home and community-based services. A list that long before the law's cuts reach Lansing's budget means families caring for a disabled relative wait longer for paid aides and supports once the state has less federal money to spend.
- Hundreds of thousands of Michiganders are projected to lose Medicaid under the work rule and extra checks. Between 171,000 and 355,000 Michiganders will drop off Medicaid because of the work requirement and more frequent eligibility determinations, the Urban Institute projects; a Healthy Michigan member with a disability who misses a documentation request or a six-month renewal loses coverage the same way anyone else does.
Frequently Asked Questions About Bill Huizenga on Disability rights
What is Bill Huizenga's record on disability rights under Trump?
Bill Huizenga's votes decided the February and April 2025 budget resolutions behind the One Big Beautiful Bill Act and its May 22 House passage, and on July 3 he voted yes on the final law. Under that law, disabled adults in the Medicaid expansion group escape the new work rule through exemptions the law lists, such as section 1614 disability, and the federal government's own estimate is 2.3 million fewer people on Medicaid in fiscal 2027. Separately, KFF counts 10,800 Medicaid enrollees with disabilities in Huizenga's district in 2025, people who qualify through the disability eligibility group, which the work rule does not cover.
When will disabled Healthy Michigan members have to prove an exemption because of Bill Huizenga's vote?
Beginning in 2027: Michigan's work rules, required by the law Bill Huizenga voted for on July 3, 2025, are effective January 1, 2027, and Healthy Michigan members renewing in March 2027 are the first who must document compliance or an exemption, or lose coverage on March 31, Bridge Michigan reported. That same group is the first to face eligibility checks twice a year, which the law requires "once every 6 months" for expansion adults.
Does the law Bill Huizenga voted for exempt people with disabilities from Medicaid work rules?
Many are: the law Bill Huizenga voted for in July 2025 applies its work rule to expansion adults and exempts a person "who is blind or disabled (as defined in section 1614)", one whose disability limits daily living, certain caregivers, and people whose mental disorder is disabling or whose medical condition is serious or complex. Under CMS's rule, Michigan must first look at data it already has and may then request more from the person. Nationally, CMS's projection is a 2.3 million drop in enrollment in fiscal 2027, and the Urban Institute's Michigan projection is between 171,000 and 355,000 people losing coverage.
Last updated: 2026-10-27