On July 3, 2025, Mike Collins of Georgia voted for final passage of the One Big Beautiful Bill Act, after casting one of the votes that passed its House version by a single vote (roll call 145). Starting in 2027 the law cuts Medicaid's retroactive coverage for Georgia applicants from 90 days to two months, and its Medicaid cuts squeeze home care, for which 9,063 Georgians were already waiting in 2026.
In March 2025, Collins called the creator of DOGE "a genius"; Georgia's Social Security offices, which handle disability claims, lost 14% of their staff over the next year.
Mike Collins's Votes and Statements on Medicaid, Home Care and Disability Benefits
- Collins Voted Twice for Medicaid Changes That Cut Retroactive Coverage for Georgians and Put Home Care at Risk, in 2025. On May 22, 2025, Mike Collins voted yes on the House version of the One Big Beautiful Bill Act, which passed 215 to 214, so a switch by him alone would have defeated it, and on July 3, 2025 he voted for final passage. Before the law, states were required to provide Medicaid coverage for qualified medical expenses incurred up to 90 days prior to an application; starting January 1, 2027, coverage reaches back only two months prior to application for coverage for traditional enrollees. Georgia is not an expansion state, so every Georgian who applies for Medicaid, including people who qualify through a disability, falls under the two-month limit. The law's federal Medicaid cuts also squeeze home care, which is largely an optional Medicaid benefit and so more vulnerable to reductions during periods of state or federal budget constraints, the Bipartisan Policy Center found; 9,063 Georgians were already on waiting lists for Medicaid home care in 2026.
- Collins Cast a Deciding Vote for the Budget Plan That Ordered the Medicaid Cut, in February 2025. On February 25, 2025, Collins voted yes on H.Con.Res. 14, the budget resolution, which passed 217 to 215; a switch by him alone would have tied it, and a tie fails. He voted for its final version on April 10, 2025. It instructed the Energy and Commerce Committee, which oversees Medicaid, to reduce the deficit by not less than $880,000,000,000. That instruction produced the Medicaid cuts in the final law, including the work requirement that, under the federal rule carrying it out, means Fewer people will qualify as medically frail in the states where it applies, Georgetown's Center for Children and Families found.
- Collins Called the Creator of DOGE "a Genius" as Social Security Lost the Staff Who Handle Disability Claims, in 2025. On March 22, 2025, Collins posted, "Whoever came up with @DOGE is a genius", and wrote that "We are going to get the 4th branch of government, the federal bureaucracy, under control". Over the following year the Social Security Administration lost more than 8,000 workers, and the Center on Budget and Policy Priorities found that the cut compromised SSA’s ability to reliably serve seniors, bereaved families, and people with disabilities; Georgia's Social Security offices lost 220 staff, or 14%, between January 2025 and April 2026.
What the Cuts Mike Collins Backed Mean for Georgians With Disabilities
- Disability benefits. 235,621 Georgians received Social Security disability benefits as disabled workers in 2024, including 19,444 in the 10th District, according to the Social Security Administration.
- Home care. 9,063 Georgians were on waiting lists for Medicaid home and community-based care in 2026, KFF found.
Frequently Asked Questions About Mike Collins on Disability rights
What is Mike Collins's record on disability rights under Trump?
Mike Collins of Georgia voted for the 2025 law that cuts Medicaid's retroactive coverage from three months to two months for Georgia applicants starting in 2027 and squeezes the money states use for home care (roll call 190). He cast a deciding vote for the budget plan that ordered the $880,000,000,000 Medicaid instruction, and he praised DOGE as Social Security lost staff who serve people with disabilities.
What is Medicaid retroactive coverage, and how did Mike Collins vote on it?
Mike Collins voted on July 3, 2025 for the law that shortens retroactive coverage, the rule that lets Medicaid pay medical bills from before a person applied (roll call 190). Under prior law, states were required to provide Medicaid coverage for qualified medical expenses incurred up to 90 days prior to the application; for Georgia applicants the window shrinks to two months on January 1, 2027, a change CBO says cuts federal Medicaid spending by $4 billion over 10 years.
How did the DOGE cuts Mike Collins praised affect Social Security disability service in Georgia?
Mike Collins praised DOGE in March 2025, and between January 2025 and April 2026 Georgia's Social Security offices lost 220 staff, 14% of the total, according to the Center on Budget and Policy Priorities. Those offices serve the 235,621 Georgians who receive disability benefits as workers.
Last updated: 2026-10-25