On February 25, 2025, Bill Huizenga helped adopt the budget resolution by two votes; on April 10 he voted for its final text, which also cleared by two; on May 22 his yes was among the 215 that carried H.R. 1 past 214 noes; and on July 3 he voted for the law's final version, whose Medicaid provisions KFF says take $31.6 billion from Michigan in federal funds over a decade.
Medicaid is not abstract in Huizenga's own district: KFF counts 164,500 enrollees in Michigan's 4th District, roughly a fifth of the population, as of 2025. Across the state, the law on its own leaves 300,000 additional Michiganders uninsured by 2034, KFF projects.
Bill Huizenga's Votes on Medicaid, From Budget Plan to Final Law
- Huizenga Was a Needed Yes on the 215-214 House Roll Call and Voted for the Final Law That Costs Michigan $31.6 Billion in Medicaid Funds. On the May 22, 2025 roll call, Bill Huizenga's aye was among 215 recorded for H.R. 1, against 214 noes and one present vote; one switched vote would have sunk the bill. Forty-two days later, on July 3, 2025, he voted to concur in the Senate's rewrite, the step that sent the bill to President Trump on a 218-214 tally. Across 2025 to 2034 the law trims federal Medicaid outlays by an estimated $911 billion, the Congressional Budget Office found, and by 2034 the ranks of the uninsured grow by 10 million. KFF's state-by-state split hands Michigan $31.6 billion of the reduction, 17% of what Washington would have sent the state for Medicaid; the low and high ends of that estimate are $23.7 billion and $39.5 billion.
- Huizenga Delivered Two-Vote Margins for a Budget Blueprint Demanding $880 Billion From Medicaid's Committee, in 2025. Twice in spring 2025 the budget resolution, H.Con.Res. 14, survived by two votes with Huizenga voting aye: by 217-215 on February 25 and, once the Senate had amended it, by 216-214 on April 10. A reversal by him alone would have left either roll call tied, and ties fail. That blueprint told Energy and Commerce, the panel with jurisdiction over Medicaid, to "reduce the deficit by not less than $880,000,000,000"; in May Huizenga also voted for H.Res. 436, the rule governing floor debate on H.R. 1. The final law that Huizenga voted for on July 3, 2025 found much of that money in two places. One is a cap on the provider taxes that states collect to cover their Medicaid share, scored by the Congressional Budget Office at $191 billion in federal savings. The other is a ceiling on state-directed hospital payments, and KFF's reading is that "payment rates for hospital services will decrease in at least 37 states" as of January 1, 2028. Michigan's exposure is $2.62 billion a year of federal hospital-services spending above the new ceiling, per KFF.
What Bill Huizenga's Medicaid Votes Cost Michigan's 4th District and Its Hospitals
- Medicaid covers 164,500 people in Huizenga's district, a fifth of its residents. Children make up the largest group: 56,400 of the 164,500 Medicaid enrollees in Michigan's 4th District in 2025 were kids, alongside 46,600 adults who qualify through the expansion, 13,100 seniors, 37,500 other adults and 10,800 disabled enrollees, KFF's district figures show. Every one of them relies on a program now funded with $31.6 billion less federal money in Michigan over ten years.
- Up to 200,000 Michiganders stand to lose Medicaid under the work rule. Healthy Michigan, the state's expansion program, enrolls about 678,000 people, and state officials have put losses from the new rules at up to 200,000, eligible people tripped up by documentation among them, Bridge Michigan reported. An Urban Institute analysis lands in a similar place: between 171,000 and 355,000 Michiganders off Medicaid because of the work requirement and more frequent redeterminations.
- The law alone adds 300,000 Michiganders to the uninsured by 2034. KFF's estimate is 300,000 more uninsured people in Michigan in 2034 from the law by itself (somewhere between 230,000 and 380,000), a three-point jump in the state's uninsured rate; people in that group lose the insurance that pays for a checkup, an inhaler or an emergency room visit.
- Michigan hospitals face more than $6 billion in Medicaid losses. Michigan's hospital association projects the law will "cost Michigan hospitals more than $6 billion in total Medicaid funding" in the coming decade. Rural parts of the state lose $5.63 billion in federal Medicaid spending over that span, by KFF's math. Michigan's first-year Rural Health Transformation award was $173 million, and of those grants one rural health system's chief told Bridge Michigan, "Very few of those dollars are actually going to hospitals".
Frequently Asked Questions About Bill Huizenga on Health Care
What is Bill Huizenga's record on health care under Trump?
Bill Huizenga voted for the One Big Beautiful Bill Act's budget resolutions, House passage and final passage in 2025: he was decisive on the February 25 and April 10 budget resolutions and on House passage May 22, and he voted for the final law on July 3. Its Medicaid reduction totals $911 billion nationally over ten years, the Congressional Budget Office estimates, with $31.6 billion falling on Michigan in KFF's allocation. Of his own constituents, 164,500 were Medicaid enrollees in 2025.
When will Healthy Michigan members have to start proving work hours because of Bill Huizenga's vote?
Bill Huizenga's July 3, 2025 vote for the final law set the clock: Michigan's work rules are effective January 1, 2027, and the first Healthy Michigan members required to show proof are those up for renewal in March 2027, who lose coverage on March 31 if their paperwork is missing, Bridge Michigan reported. Under the statute, the monthly bar is 80 hours of a job, volunteer service, job training or at least half-time school, and states must redetermine eligibility for expansion adults "once every 6 months". That reaches the 46,600 expansion enrollees KFF counted in Michigan's 4th District in 2025.
When will Michigan hospitals feel the payment limits Bill Huizenga voted for?
Starting January 1, 2028, KFF says, the limits written into the law Bill Huizenga voted for on July 3, 2025 begin pulling down hospital payment rates in at least 37 states. Michigan has roughly $2.62 billion a year of federal hospital spending above the new ceiling in KFF's estimate, and Michigan's hospital provider tax appears on KFF's roster of state levies set to shrink under the law.
Could the House have passed the Medicaid cuts without Bill Huizenga?
Not on May 22, 2025: H.R. 1 won 215 to 214, one member answering present, and Bill Huizenga sat in that majority, so his defection alone would have defeated it. On the February and April budget resolutions, each adopted by two votes, his switch would have tied the vote, and a tie fails. Final passage on July 3, 2025 was 218 to 214.
Last updated: 2026-10-27