The U.S. House adopted a budget resolution on Feb. 25, 2025, by a vote of 217 to 215 that told the Energy and Commerce Committee, which oversees Medicaid, to cut spending by at least $880 billion over 10 years, according to the congressional record for H.Con.Res. 14 and reporting by Disability Scoop.
What the vote did
A budget resolution does not change any program by itself. It sets instructions that let Congress pass a later bill through budget reconciliation, which needs only a simple majority in the Senate. Disability Scoop reported that no Democrats voted for the measure.
Because Medicaid is the largest program under the committee's control, disability groups read the $880 billion target as a signal that deep Medicaid cuts were coming. ANCOR, which represents disability service providers, told Disability Scoop it was gravely concerned about the effect on access to community-based services for people with I/DD.
Why this mattered for providers and DSPs
Medicaid home and community-based services are optional for states. When states face federal funding cuts, optional services and provider rates are among the first places they look. For provider agencies and DSPs, the resolution started the process that led to the reconciliation law Congress passed in July 2025, H.R. 1.