The first law to take Medicare from people already eligible got Greg Murphy's vote. On July 3, 2025, he cast a yes on final passage of the One Big Beautiful Bill Act. It strips coverage from refugees, asylees and other immigrants here lawfully who hold no green card. The Congressional Budget Office expects 100,000 people to lose Medicare by 2034.
Murphy's May 22, 2025 vote was needed to pass the House version. That bill froze two rules, one easing enrollment in Medicare premium aid and one easing Medicaid enrollment for older and disabled people. His April 2025 budget vote was also decisive. The tax cuts in the law he voted for that July bring the hospital fund's depletion one quarter sooner, still within 2033. In 2024, 2,228,458 North Carolinians had Medicare.
Greg Murphy's Votes on Medicare Coverage and Costs
- Murphy Voted to End Medicare for Refugees and Asylees Already Enrolled. Greg Murphy voted for H.R. 1 on July 3, 2025. It passed 218 to 214. Section 71201 ends Medicare for lawfully present immigrants who lack green cards. Refugees and asylees are among them. KFF says "This is the first time that Congress has eliminated Medicare coverage" for people who met the rules. The Congressional Budget Office projects "0.1 million Medicare beneficiaries losing their Medicare coverage as of 2034," KFF reports. Under CMS's proposed timeline, coverage stops on February 1, 2027 for people already flagged. The law also widens a drug-pricing exemption for orphan drugs. That change costs Medicare $8.8 billion more, the Congressional Budget Office estimates.
- Murphy Cast a Deciding Vote to Freeze Help With Medicare Premiums. On May 22, 2025, Murphy's yes helped pass the House version of H.R. 1. The tally was 215 to 214, plus one present. It could not have passed without him. It froze most of two rules: one easing enrollment in the programs that cover Medicare premiums for poor seniors, and the other simplifying Medicaid sign-up for seniors and people with disabilities. The final law kept that freeze. For the House bill, an earlier Congressional Budget Office count found 1.3 million fewer Medicare enrollees would have Medicaid in 2034 because of the freeze. A senior who loses the help could end up "paying $185 per month in Medicare premiums, or about 20% of income," KFF estimates.
- Murphy Cast a Deciding Budget Vote, Then Voted for Tax Cuts That Drain Medicare's Hospital Fund. Murphy voted for the last version of the budget resolution, H.Con.Res. 14, on April 10, 2025. It passed 216 to 214. Had he flipped, the count would have tied and the resolution would have failed. The plan allowed tax-writers on Ways and Means to pass changes that "increase the deficit by not more than $4,500,000,000,000". The law Murphy voted for on July 3, 2025 lowers income tax owed on Social Security checks. Part of that tax funds Medicare's hospital coverage. The program's trustees still project the fund runs out in 2033, but one quarter earlier than before. KFF says the trustees' main reason is revenue "lower than previously projected due to changes in the 2025 budget reconciliation bill."
What Greg Murphy's Medicare Votes Mean for North Carolina Seniors
- North Carolina's 2.2 million Medicare enrollees face a hospital fund that runs dry sooner. KFF counted 2,228,458 North Carolinians on Medicare in 2024. Of them, 994,906 were in traditional Medicare. Medicare's hospital fund pays for their inpatient care. Under the law it runs short a quarter earlier, in 2033.
- 27,200 seniors on Medicaid in North Carolina's 3rd District face a harder path to premium help. KFF counts 27,200 seniors on Medicaid in North Carolina's 3rd District in 2025. Medicaid's savings programs cover Medicare premiums for seniors with little income. The freeze Murphy voted for keeps in place the paperwork the two rules were meant to cut. Seniors who drop out pay the premiums themselves.
Frequently Asked Questions About Greg Murphy on Medicare
What is Greg Murphy's record on Medicare under Trump?
Greg Murphy voted for the 2025 law that ends Medicare for some lawfully present immigrants, the first time Congress has done so, KFF says. His deciding May 2025 vote sent the House bill, with its freeze on two enrollment rules, to the Senate. He also cast a deciding April 2025 budget vote, and the tax cuts in the law he voted for bring the hospital fund's 2033 depletion a quarter sooner. North Carolina has 2,228,458 Medicare enrollees.
Did Greg Murphy vote to take Medicare away from people who already have it?
Yes, Greg Murphy voted on July 3, 2025 for the law that ends Medicare for lawfully present immigrants without green cards, including refugees and asylees. Under CMS's proposed timeline, coverage ends on February 1, 2027 for those already identified. About 100,000 people will have lost Medicare by 2034, the Congressional Budget Office projects.
Did Greg Murphy vote to make Medicare pay more for drugs?
Yes, Greg Murphy voted for section 71203 of the 2025 law, which exempts more orphan drugs from Medicare price negotiation. The Congressional Budget Office estimates the change costs Medicare an extra $8.8 billion. KFF expects it to push back negotiation on the cancer drugs Keytruda and Opdivo "by at least one year."
Last updated: 2026-10-27