Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·PA·September 30, 2026

PA 7th District Rivals Split Sharply on Medicaid, ACA Cuts

Spotlight PA compares economic platforms of Rep. Ryan Mackenzie (R) and challenger Bob Brooks (D) in Pennsylvania's competitive 7th Congressional District ahead of the Nov. 3 election. Mackenzie backed the One Big Beautiful Bill Act, which includes roughly $1 trillion in Medicaid cuts over a decade plus new work requirements, more frequent eligibility checks, and higher cost-sharing; he says he continues working across the aisle on affordability measures and voted for a bill to extend enhanced ACA subsidies for three years. Brooks calls the law "God-awful" and wants to restore cuts to Medicaid, SNAP, and ACA subsidies, and supports moving toward universal coverage. The race is rated a toss-up, and the outcome could influence future congressional action on Medicaid financing and eligibility rules.

Why it matters

The election outcome in this toss-up district could shape a pivotal vote on preserving or reversing federal Medicaid work requirements, eligibility redeterminations, and funding cuts enacted under the OBBBA.

Finance · CHIP

Read the full article at spotlightpa.org →

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