Trump Budget Slashes Medicaid, Nutritional Assistance Program, Other Safety Net Programs

The Trump Administration cuts more than $800 billion of funding from Medicaid in its new budget, which will be formally unveiled on Tuesday.

More than 70 million Americans — low-income adults and people with disabilities — are covered through Medicaid.

The proposal is at odds with the fact that many states, including those with Republican governors, have asked the administration to expand Medicaid instead of cutting it.

Under the Trump plan, those states would stop receiving funding to cover low-income adults.

White House Budget Director Mick Mulvaney briefed reporters on the proposal Monday afternoon and will appear before both the House and Senate later this week.

He described the budget as the first time an administration has crafted a proposal from the perspective of "the taxpayer first.

"We have written a budget through the eyes of those who will be paying."

Mulvaney says his staff has gone line by line asking can they go to a single mother in Grand Rapids and ask them to pay for something.

Trump's budget would drastically reduce funding to Medicaid overall. States instead would likely receive a block grant, giving them more flexibility on how to spend the money.

The proposal drastically reduces the spending on the Supplemental Nutrition Assistance Program.

While Mulvaney says that "we do believe in the social safety net," the administration is looking to trim nearly $2 trillion from those programs over the next decade.

The budget, however, does include money for the creation of a paid family leave program that allows families six weeks of paid leave after the birth or adoption of a child.

It's likely to face opposition in Congress where Republicans killed a similar proposal from President Obama in 2015.

The budget pretty much eliminates funding for the Corporation for Public Broadcasting, which helps keep small stations in rural areas in business. Mulvaney says that the funding is not being completely eliminated - yet. He says that there is money left to allow them to start shutting down.

There is money for Trump's much touted (by him) wall to start getting built. Mulvaney describes it as money for "brick and mortar."

Mulvaney says that the administration is confident the budget will pass despite the fact that it is Congress that decides what gets money and what doesn't and that many of the administration's priorities are at odds with Congress's.

HERE ARE SOME HIGHLIGHTS OF THE BUDGET:

• $1.6 billion for new and replacement border wall in locations identified by the Border Patrol as operational priorities to impede the flow of illegal crossings;
• $239 million for aircraft and other aviation assets to help identify and track border crossings and support enforcement actions on the ground;
• $202 million for critical equipment and facility needs, such as vehicles, radios, weapons, and computers;
• $197 million for surveillance technology, such as towers, radars, cameras, and sensors, to give the Border Patrol situational awareness in high-risk areas;
• $111 million for road construction and maintenance to give Border Patrol access to difficult to reach locations;
• $109 million to recapitalize non-intrusive inspection equipment at ports of entry, anticipating that stronger enforcement between the ports may lead to increased contraband flowing through official border crossings.

Tax Reform

• Tax reform, for both individuals and businesses, will grow the economy and make America a more attractive business environment.
• The President’s tax plan is not just a tax cut; it is tax reform to make our tax system simpler and fairer. While cutting tax rates, it also eliminates loopholes and deductions.
• The lower corporate tax rate and lower income tax rate will spur investment and create jobs.
• The Trump Tax plan will streamline the tax code, reducing the tax rate on American businesses while increasing economic growth and fueling job creation, giving one of the biggest business and middle-income tax cuts in history.
• The reform shrinks the current system from 7 to 3 brackets – 10%, 25%, and 35%. o The Trump Tax plan would cut the tax rate on businesses to 15%. o The plan would make many small businesses eligible for the business rate of 15%.

Safety Net Changes

• There are no cuts to Medicare or Social Security but there are changes to Social Security Disability, which Mulvaney says most people don't consider to really be a part of Social Security.
• Children's Health Insurance Program would be cut by 20 percent for each of the next two years
• This budget strives to replace dependency with the dignity of work through welfare reform efforts.
• Promotes a better system for the American taxpayer and more effectively targets benefits toward their intended recipients.
• Provides SNAP reforms that tighten eligibility and encourage work, strengthen child support, and limit Earned Income Tax Credit and the Child Tax Credit to those who are authorized to work in the U.S.
• Combined SNAP reforms generate nearly $193 billion in savings over 10 years.
• Temporary Assistance for Needy Families (TANF) proposals save $21 billion over ten years.
• Earned Income Tax Credit (EITC) and Child Tax Credit (CTC) reforms save $40 billion over ten years.
• The “Reform the Welfare System” budget proposal, which includes the above items as well as other key proposals, saves $274 billion over 10 years

Medical Research

• National Institutes of Health would be cut $5.8 billion; including:
• National Heart Lung, and Blood Institute wold lose $575 million
• National Cancer Institute would lose $1 billion
• National Cancer Institute $1 billion
• $222 million cut to CDC's chronic disease prevention program
• While there would be $35 million to the CDC for childhood lead poisoning prevention, spending on environmental health would drop by $60 million
• $82 million cut at the CDC center that works on vaccine preventable and respiratory diseases.
• The Food and Drug Administration would see its budget cut by nearly $1 billion

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Photo of the budget being printed via Mark Wilson/Getty Images News/Getty Images