U.S. House Speaker Mike Johnson

House Republicans are now pondering whether to pursue another major legislative push involving Medicaid later this year, just months after narrowly passing President Donald Trump's massive tax and spending policy. But some are hesitant out of fear for how their constituents would react.

Politico reported Wednesday that the Republican Study Committee (RSC) – which is made up of 189 Republican members of Congress — has invited a controversial figure to its Thursday meeting that suggests the GOP may make even steeper cuts to Medicaid this year or in early 2026. According to the outlet, Paragon Health Institute president Brian Blase, who is credited as the architect of Republicans' Medicaid cuts in the "One Big Beautiful Bill Act," to this week's meeting.

Blase's address to the RSC comes as Republicans plot whether to embark on another legislative crusade before the end of the year, even though the tax and spending bill almost failed to pass despite Republican majorities in both chambers of Congress. While no official details have emerged, Politico reported that Blase's invitation likely means that future Medicaid cuts could be on the table.

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Changes to Medicare may also be included in the conversation, as Blase will be accompanied by Demetrious Kouzoukas, who leads Paragon's Medicare Reform Initiative. According to its website, Paragon is focused on changes to Medicare and Medicaid policy, and its leadership and board have numerous ties to far-right policy groups like the Heritage Foundation (which created Project 2025) and the Federalist Society.

Not all Republicans are on board with another divisive vote on additional Medicaid cuts. Rep. Mike Flood (R-Neb.) reportedly warned that there would be "severe pushback" against any attempt to impose new cuts to the popular program that provides health insurance to low-income and disabled Americans.

Politico's Benjamin Guggenheim and Meredith Lee Hill also reported that there is little appetite for another bitter legislative battle given the work House Republicans are facing when they return to Washington after Labor Day. They wrote: "A major fight over government funding looms, as well as the expiration of the ACA tax credits — which could lead to drastic hikes in some Americans’ health insurance premiums."

Click here to read Politico's report in its entirety (subscription required).

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