Roger Marshall claims he has the backs of everyday Kansans. He claimed he would protect their Medicaid. He claimed he would make sure their hospitals were funded. He claimed he was saving Kansans’ money. But Marshall did the exact opposite. In voting for the so-called One Big Beautiful Bill, Marshall wittingly unleashed chaos and suffering in the Sunflower State. Rural hospitals lost funding; patients lost coverage; vulnerable children lost access to food. But Roger Marshall calls this “America’s Golden Era.”
2025: Marshall Voted For The Senate FY 2025 Budget Reconciliation Bill That Extended $4 Trillion In Expiring Tax Cuts, Added New Tax Breaks, Appropriated $448 Billion In Defense, Border, And Immigration Enforcement Funding, Increased The SALT Deduction To $40,000, And Cut Medicaid And Other Social Programs To Offset The Costs. In July 2025, Marshall voted for, according to Congressional Quarterly, “the bill, as amended, that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The Senate passed the bill by a vote of 50 to 50 with Vice President Vance casting the tie-breaking vote. [Senate Vote 372, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Striking A Provision That Would Delay The Implementation Of The Matching Funds Requirement For The Supplemental Nutrition Assistance Program. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2849 to the Graham, R-S.C., amendment no. 2848 to the Thune, R-S.D. for Graham substitute amendment no. 2360 that would strike a provision relating to delayed implementation of the supplemental nutrition assistance program matching funds requirements.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 45 to 55. [Senate Vote 369, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2849; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Striking $100 Million In Appropriations To Find Budget And Accounting Efficiencies In The Executive Branch. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2585 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360, that would that would strike a section providing $100 million in appropriations for the Office of Management and Budget for purposes of finding budget and accounting efficiencies in the executive branch.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 50 to 50. [Senate Vote 368, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2585; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Appropriating $63 Million To Implement Safety Recommendations Related To The Plane Crash at Ronald Reagan Airport And Against Striking The Requirement That Airport Leases Be Renegotiated Every Ten Years. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2847 to the Thune, R-S.D., for Graham, R-S.C., substitute amendment no. 2360, that would strike the requirement that the Transportation Department and the Metropolitan Washington Airports Authority renegotiate the level of lease payments every 10 years so that the amount is not below $15 million in 2027 dollars. It also would appropriate $63 million to the DOT for fiscal 2025, to remain available through fiscal 2029, to implement safety recommendations related to the January 2025 mid-air crash at Ronald Reagan Washington National Airport, to establish a memorial to the victims of that crash, and to undertake projects related to airport safety and security. It also would appropriate $9.91 billion, rather than $9.995 billion, for certain Mars and moon space programs..” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 50 to 50. [Senate Vote 367, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2847; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Establishing A 36.9 Percent Tax Bracket For Those Earning Over $10 Million And Against Striking Provisions Terminating Clean Energy Tax Credits. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2564 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360, that would repeal the bill's sections terminating clean energy tax credits. It also would establish a 39.6 percent tax bracket for taxable income over $10 million.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 49 to 51. [Senate Vote 366, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2564; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Establishing A 36.9 Percent Tax Bracket For Those Earning Over $100 Million And Against Postponing Termination Of The Residential Clean Energy Tax Credit. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2719 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360, that would postpone the termination of the residential clean energy tax credit by one year, through Dec. 31, 2026, and establish a 39.6 percent tax bracket for taxable income over $100 million.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 48 to 52. [Senate Vote 365, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2360; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Establishing A 36.9 Percent Tax Bracket For Those Earning Over $1 Million And Against Extending Clean Energy Production Tax Credits. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2717 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360, that would establish a 39.6 percent tax bracket for taxable income above $1 million and extend clean energy production credits through 2026.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 47 to 53. [Senate Vote 364, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2717; Congressional Actions, H.R. 1]
2025: Marshall Voted For The Substitute Amendment To The FY 2025 Reconciliation Bill That Struck A $500 Million Fund For Artificial Intelligence With Access Conditioned On A Ten Year Moratorium. In July 2025, Marshall voted for, according to Congressional Quarterly, “amendment no. 2814 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360, that would strike language to establish a $500 million fund for artificial intelligence projects and condition access to that fund on states agreeing to a 10-year pause on AI regulations.” The vote was on the amendment. The Senate adopted the amendment by a vote of 99 to 1. [Senate Vote 363, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Requiring Medicare To Cover Dental, Vision, And Hearing Services And Against Allowing Additional Drugs To Be Eligible For Price Negotiations. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2435 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360, that would expand Medicare by requiring the program to cover costs for vision, dental and hearing services and would allow for additional prescription drugs to be eligible for price negotiations under Medicare.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 47 to 53. [Senate Vote 362, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2435; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Striking Language Prohibiting Medicaid Payments For Home Or Community-Based Services From Being Used To Pay Employees’ Benefits. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2817 to the Thune, R-S.D. for Graham, R-S.C., substitute amendment no. 2360 that would strike language prohibiting the use of Medicaid payments for expanded home or community-based services to pay employee benefits to practitioners of such services.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 48 to 52. [Senate Vote 361, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2817; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Terminating Clean Energy Credits For New Wind And Solar Facilities. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2745 that would terminate clean energy production credits for wind and solar facilities that are placed in service after 2027 or begin construction more than 60 days after the bill's enactment.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 21 to 79. [Senate Vote 360, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2745; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Striking Provisions Establishing Tax Credits For Donations To Private School Scholarships. In July 2025, Marshall voted against, according to Congressional Quarterly, the “amendment no. 2382 that would strike language establishing a system of tax credits for donations to private-school scholarship funds.” The vote was on the amendment. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the amendment by a vote of 50 to 50. [Senate Vote 358, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, S.Amdt. 2382; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Striking Clean Energy Cuts From The Reconciliation Bill. In July 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the bill to the Senate Finance Committee with instructions to strike the cuts to clean energy.” The vote was on the motion to commit. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the motion by a vote of 47 to 53. [Senate Vote 357, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted To Exclude Individuals Making More Than $25 Million And Joint Tax Filers Earning Over $50 Million From The Tax Cut Extension In the Reconciliation Bill And To Increase Rural Hospital Funding. In July 2025, Marshall voted for, according to Congressional Quarterly, the “motion to waive applicable provisions of the Congressional Budget Act for the Collins amendment no. 2812 to the Thune, R-S.D., for Graham, R-S.C., substitute amendment no. 2360 to the bill. The amendment would exclude from tax cuts individuals making more than $25 million in taxable incomes or couples with a joint taxable income of over $50 million. It would also increase funding for rural hospitals from $10 million to $22.5 million for fiscal years 2028 and 2029.” The vote was on the motion to waive. The underlying bill was the FY 2025 reconciliation bill. The Senate rejected the motion by a vote of 22 to 78. [Senate Vote 355, 7/1/25; Congressional Quarterly, 7/1/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Protecting Veterans’ Federal Employment In The Reconciliation Bill. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the bill to the Senate Homeland Security and Governmental Affairs Committee with instructions regarding veterans' federal employment.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 47 to 53. [Senate Vote 346, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted To Prohibit States From Receiving Medicaid And Children’s Health Insurance Program Funding Unless They Require Recipients To Prove Their Citizenship. In June 2025, Marshall voted for, according to Congressional Quarterly, the “motion to waive the Congressional Budget Act for the purpose of amendment no. 2401 to the Thune, R-S.D., for Graham, R-S.C., substitute amendment no. 2360 to the fiscal 2025 budget reconciliation bill (HR 1). The amendment would prohibit states from using federal funds under Medicaid or the Children's Health Insurance Plan to cover individuals who do not prove their citizenship or ‘satisfactory’ immigration status within a 90-day period.” The vote was on the motion to waive. The Senate rejected the motion by a vote of 53 to 47. [Senate Vote 345, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Striking Language That Would Prohibit Abortion Providers From Receiving Federal Funds Under Medicare For Services Other Than Abortions From The Reconciliation Bill. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the bill to the Senate Finance Committee with instructions on Medicaid and labor and delivery units and to report back to the Senate.” The vote was on the motion to waive. The Senate rejected the motion by a vote of 49 to 51. [Senate Vote 344, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Striking Cuts To The Consumer Financial Protection Bureau. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to waive section 302(f) of the Congressional Budget Act with respect to the Scott, R-S.C., point of order that amendment no. 2414 would cause the legislation to exceed the Banking Committee allocation of budget authority and outlays. The amendment would strike language to decrease funding for the Consumer Financial Protection Bureau to 6 percent of the total operating expenses of the Federal Reserve System for each fiscal year.” The vote was on the motion to waive. The Senate rejected the motion by a vote of 47 to 53. [Senate Vote 341, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Striking Medicaid Cuts To Labor And Delivery Units In The Reconciliation Bill. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the bill to the Senate Finance Committee with instructions on Medicaid and labor and delivery units and to report back to the Senate.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 48 to 52. [Senate Vote 340, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Striking Medicaid Cuts In The Reconciliation Bill That Could Lead To Nursing Home Closures. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the fiscal 2025 budget reconciliation bill (HR 1) to the Senate Finance Committee with instructions on the Supplemental Nutrition Assistance Program and report back to the Senate.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 48 to 52. [Senate Vote 338, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Voted To Amend The Supplemental Nutrition Assistance Program Provisions In The Reconciliation Bill. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the fiscal 2025 budget reconciliation bill (HR 1) to the Senate Finance Committee with instructions on the Supplemental Nutrition Assistance Program and report back to the Senate.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 49 to 51. [Senate Vote 337, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Striking Excessive Paperwork Requirements For Medicaid From The Reconciliation Bill. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the bill to the Senate Finance Committee with instructions to strike excessive paperwork requirements for Medicaid work requirements from the bill and report it back to the Senate.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 48 to 52. [Senate Vote 336, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Striking Medicaid Cuts From The Reconciliation Bill. In June 2025, Marshall voted against, according to Congressional Quarterly, the “motion to commit the bill to the Senate Finance Committee with instructions to strike all Medicaid cuts from the bill and report it back to the Senate.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 47 to 53. [Senate Vote 335, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted To Maintain An Unfunded Mandate Regarding The Supplemental Nutrition Assistance Program In The Reconciliation Bill. In June 2025, Marshall voted for, according to Congressional Quarterly, the “motion to waive the Klobuchar, D-Minn., point of order that the Graham, R-S.C., substitute amendment no. 2360 to the fiscal 2025 budget reconciliation bill (HR 1) contains an unfunded mandate regarding the Supplemental Nutrition Assistance Program funding and thus violates section 425(a)(2) of the Congressional Budget Act.” The vote was on the motion to waive. The Senate agreed to the motion by a vote of 51 to 48. [Senate Vote 334, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Effectively Voted Against Prohibiting Provisions In The Reconciliation Bill From Increasing The Likelihood Of Rural Hospitals To Close. In June 2025, Marshall voted against, according to Congressional Quarterly, “motion to commit the bill to the Senate Finance Committee with instructions to report the bill back to the Senate in three days with changes that would would strike any provision that would result in increased likelihood of rural hospitals being forced to close, convert, or reduce or stop providing services.” The vote was on the motion to commit. The Senate rejected the motion by a vote of 49 to 51. [Senate Vote 333, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
2025: Marshall Voted Against Committing The Reconciliation Bill To The Finance Committee With Instructions To Reduce Health Care Costs For American Families. In June 2025, Marshall voted against, according to Congressional Quarterly, “motion to commit the bill to the Senate Finance Committee with instructions to report the bill back to the Senate in three days with changes that would ‘reduce the cost of health care for American families and small businesses while ensuring the wealthy and big corporations pay their fair share.’” The Senate rejected the motion by a vote of 47 to 53. [Senate Vote 332, 6/30/25; Congressional Quarterly, 6/30/25; Congressional Actions, H.R. 1]
Marshall Claimed The OBBB Was Ushering In “America’s Golden Era” And That It Was A “Win For Every Single American.” According to the Kansas Reflector, “U.S. Sens. Jerry Moran and Roger Marshall of Kansas voted with fellow Republicans to secure passage of the Senate’s controversial budget and tax bill featuring domestic policy priorities of President Donald Trump. […] ‘The lefty fake news media has failed to tell the truth about this bill, that it will deliver a win for every single American,’ Marshall said. ‘This is President Trump’s legacy and we are entering America’s golden era.’” [Kansas Reflector, 7/1/25]
Marshall Celebrated The OBBB As The “Beginning Of America’s Great Golden Age.” According to a press release from Sen. Marshall, “On Tuesday, U.S. Senator Roger Marshall, M.D. (R-Kansas), released the following statement after the Senate voted to pass the reconciliation bill, President Donald Trump’s signature piece of legislation, which will deliver on numerous key promises made to the American people. ‘President Trump promised more money in your pocket, a secure border, and a strong national defense, and today the Senate delivered,’ said Senator Marshall. ‘The House should immediately take up the Republican reconciliation bill and get it to the President’s desk by July 4th. This is just the beginning of America’s great Golden Age.’” [Press Release – Sen. Marshall, 7/1/25]
Marshall Falsely Suggested The OBBB Would “Help Shrink The Debt.” According to the Kansas Reflector, “In addition, Marshall said the legislation would spark such a massive expansion of the U.S. economy that it would ‘help shrink the debt.’ The claim conflicted with a congressional budget estimate the bill would add at least $3.3 trillion to the nation’s debt over the next decade. The Senate bill would increase the federal debt limit by $5 trillion.” [Kansas Reflector, 7/1/25]
Marshall Claimed Families Would Save “$1,000 A Month” Thanks To The OBBB. According to the Emporia Gazette, “On a day-to-day basis, what I would brag about is just the tax decrease that middle-income hardworking Americans are going to see. This should amount to about $1,000 a month more for that family making $60,000 to $80,000 a year - $1,000 more of their hard-earned money they're going to keep.” [Emporia Gazette, 7/10/25]
Marshall Declared The $50 Billion Rural Hospital Relief Fund In The OBBB To Be “More Than Enough.” According to the Emporia Gazette, “Q: You advocated for setting aside $50 billion in relief for rural hospitals. Do you believe that this funding will be enough to offset funding losses from Medicaid cuts? A: Yeah, I really do. I think it's more than enough. This is something that I've specifically been working on for the past six months. I'm sure you may recall that I’ve practiced medicine in a rural hospital. I have run a rural hospital. I understand them inside and out. Only five percent of Medicaid dollars end up at rural hospitals. Hospitals are much more dependent upon Medicare, not Medicaid. Typically, Medicaid patients are money losers for hospitals, you lose money for every one that you see. Regardless of all the things going on with Medicaid, I think that this will be more than enough to fill those hospitals’ holes.” [Emporia Gazette, 7/10/25]
Kansas Was Slated To Lose Nearly $4 Billion In Medicaid Funding Over 10 Years. According to the Reach Healthcare Foundation, “Kansas stands to lose $3.897 billion in federal and state Medicaid funding under the Senate-approved version of the “One Big Beautiful Bill Act,” which will result in Kansas hospitals losing $2.65 billion in funding over 10 years. Under the Senate plan, 13,000 Kansans are still projected to lose access to Medicaid for health insurance. Such losses would lead to higher uninsured rates and create more financial struggles for rural hospitals already on the brink of closure.” [Reach Healthcare Foundation, 7/2/25]
The OBBB Endangered Health Coverage For 13,000 Kansans. According to the Reach Healthcare Foundation, “Kansas stands to lose $3.897 billion in federal and state Medicaid funding under the Senate-approved version of the “One Big Beautiful Bill Act,” which will result in Kansas hospitals losing $2.65 billion in funding over 10 years. Under the Senate plan, 13,000 Kansans are still projected to lose access to Medicaid for health insurance. Such losses would lead to higher uninsured rates and create more financial struggles for rural hospitals already on the brink of closure.” [Reach Healthcare Foundation, 7/2/25]
[VIDEO] Marshall Claimed He Was “Protecting” Medicaid While Voting For The Opposite. “The OBBB includes over 1 trillion dollars in cuts to Medicaid over the next decade. Supporters of the bill, like Kansas Senator Roger Marshall, say despite the cut, Medicaid will still be there for those who need it, ‘We're protecting it. We're saving it for those who need it the most. This is something I've been working on since New Year's Eve, when I sat down with Dr. Oz and kind of made a plan going for the future. But we're going to make sure that seniors in nursing homes, people with disabilities, children, pregnant women, we’re going to make sure that they have Medicaid.’” [KFJX (FOX), 7/10/25]
[VIDEO] Marshall Boasted That Republicans Were “Strengthening” Medicaid. “I just want to share with America the great work that Republicans have done on Medicaid, that we're preserving it, we're protecting it. We're strengthening it for those who need it the most. We're going to make sure that you're seniors, a nurse, and that pregnant women, that children that people in disabilities have Medicaid in the future. We are fiscally making Medicaid more sound. You know, it's only in Washington, D.C. that you increase spending at a rate faster than inflation. You call it a cut. So we're increasing spending on this legislation. We're increasing funding for Medicaid. We are preserving and protecting it for those who need it the most. I urge everyone to vote no on this amendment. Thank you.” [Senate Floor Speech – Sen. Marshall, 6/30/25]
[VIDEO] Marshall Said The OBBB Did Not “Touch” Medicaid. “We don't touch Medicare for Medicaid. We strengthen it and preserve it for those who need it the most, including seniors in nursing homes and those on disabilities. And we increase spending on Medicaid more than the rate of inflation.” [Video Press Release – Sen. Marshall, 6/18/25]
[VIDEO] Marshall Denied That There Would Be Any Cuts To Medicaid. “Marshall denied that any cuts were coming to Kansas, ‘So there are no Medicaid cuts.’ One healthcare advocate, Dr. Christa Balanoff, said, “Our health care system was already broken, but Senator Marshall voted to make it worse.” Senator Marshall says the Medicaid cuts that critics are pushing him to fix are nonexistent, 'We spent more money on Medicaid this year than last year. We're going to spend more money next year than we are this year as well. There are not any Medicaid cuts. I think that that's a lie. You can look at the numbers to see that we're increasing spending every year on Medicaid.'” [KTKA (ABC), 8/28/26]
The OBBB Cut Medicaid Funding For Hospitals By $2.65 Billion. According to the Reach Healthcare Foundation, “Kansas stands to lose $3.897 billion in federal and state Medicaid funding under the Senate-approved version of the “One Big Beautiful Bill Act,” which will result in Kansas hospitals losing $2.65 billion in funding over 10 years. Under the Senate plan, 13,000 Kansans are still projected to lose access to Medicaid for health insurance. Such losses would lead to higher uninsured rates and create more financial struggles for rural hospitals already on the brink of closure.” [Reach Healthcare Foundation, 7/2/25]
The OBBB’s $50 Billion Rural Hospital Relief Fund Was “Not Enough” To Offset Hospitals’ Medicaid Funding Losses. The Senate did include a $50 billion rural hospital relief fund to help offset funding losses, which would provide $811 million to Kansas hospitals. However, that still leaves hospitals billions short in Medicaid funding. ‘We appreciate efforts to help our rural hospitals. However, it’s not enough,’ said David Jordan, president and CEO of the United Methodist Health Ministry Fund. ‘It’s not a viable long-term solution. Our hospitals cannot afford to absorb billions of dollars in Medicaid cuts without cutting services and or possibly closing their doors. Our rural communities are aging and will only need more health care in the coming years – not less. This isn’t a sustainable solution to offsetting these losses, which will exacerbate the struggles our rural hospitals face.’” [Reach Healthcare Foundation, 7/2/25]
July 2025: Kansas Had More Hospitals At Risk Of Closure Than Any Other State, With 63 Rural Hospitals Specifically At Risk. According to Fox 4, “Kansas already has more hospitals at risk of closure than any other state in the country – with 63 rural hospitals currently at risk and 87% of Kansas rural hospitals operating in the red. These hospitals struggle to survive with existing federal funding; provisions in the bill would cause them to lose billions, making it even harder to stay open. ‘This bill is a serious threat to the health and well-being of thousands of Kansans,’ said Brenda Sharpe, president and CEO of REACH Healthcare Foundation. ‘Cutting Medicaid funding and SNAP would weaken the safety net that holds our communities together, especially in rural communities where health care options are already limited.’” [Fox 4, 7/2/25]
October 2025: 67 Rural Kansas Hospitals Were At Risk Of Closing. According to Kansas Public Radio, “Many rural hospitals across Kansas struggle to stay open. The state has more rural hospitals at risk of closure than any other state, according to national data from the Center for Healthcare Quality and Patient Reform. Estimates vary depending on who you ask, but the Pennsylvania-based think tank suggests that 67 out of 100 rural Kansas hospitals are at risk of closing. Thirty face an immediate risk of closure.” [Kansas Public Radio, 10/14/25]
July 2026: 24,000 Kansans Lost SNAP Benefits Due To The OBBB, 11,000 Of Them Being Children. According to WIBW, “One year after the Trump administration’s ‘One Big Beautiful Bill’ was signed into law, Kansas organizations gathered to outline how the legislation has affected residents across the state. […] With cuts to SNAP funding, Kansas Appleseed said the state saw a steep decline in families receiving food assistance. Since HR1 was signed into law, 11,000 Kansas children have lost food assistance and 24,000 Kansans statewide have lost SNAP benefits. Kansas Appleseed attributed the losses to expanded work requirements and increased administrative barriers that made it harder to qualify. Harvesters said at the meeting that it is seeing the highest demand for food in two decades, with approximately one in every seven people in the state experiencing food insecurity.” [WIBW, 7/14/26]
The Mass Loss Of SNAP Certifications Endangered Free School Meals For Thousands Of Vulnerable Children. According to the Kansas Reflector, “A primary concern, Kottler said, is the ripple effect of children losing school meals. ‘Many children qualify for free school meals automatically because their families receive SNAP or Medicaid through a process called direct certification,’ she said. ‘It’s one of the smartest, most effective tools that we have to reduce childhood hunger. Parents don’t have to complete another application. Schools can spend less time processing paperwork.’ But families that lost SNAP because of work requirements or paperwork problems also lose that automatic connection, putting children at risk of falling through the cracks, Kottler said. Another federal program, Community Eligibility Provision, allows eligible schools to provide free breakfast and lunch to all students without collecting household information for them, she said. While the Kansas Legislature encouraged eligible schools to enroll in the program this year, if fewer students are directly certified, schools may not be able to participate, Kottler said.” [Kansas Reflector, 7/16/26]