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More than 70 Million Americans Are on Medicaid. This Is Where They Live.

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More than 70 Million Americans Are on Medicaid. This Is Where They Live.

In the stretch of rural Kentucky that borders West Virginia, voters reliably send Republicans to Congress. Representative Hal Rogers, who represents the area, did not even face a Democratic challenger in 2024. More than 40 percent of the population there relies on Medicaid, the public health insurance plan for low-income Americans.

In eastern Louisiana, where Representative Julia Letlow, a Republican, was elected in 2024 by a wide margin, about one-third of the population is enrolled in the program.

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Share of population enrolled in Medicaid

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Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming have not adopted the Affordable Care Act’s Medicaid expansion.

The New York Times

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And in California’s Central Valley, Republicans control a district where two-thirds of the population is on Medicaid, one of the highest rates in the nation, according to an analysis of federal enrollment data by the Center on Budget and Policy Priorities, a liberal think tank.

Some of those places could bear the brunt of steep Medicaid cuts that are expected to be central to Republicans’ budget plans. The budget passed on Tuesday night by House Republicans directs Energy and Commerce, the committee that oversees Medicaid, to cut spending by $880 billion over the next decade, which would amount to an 11 percent reduction in the program’s planned spending.

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In its 60 years, Medicaid has swelled from a small program that provided medical care to poor Americans receiving cash assistance to the largest source of public insurance. It covers 72 million Americans, about one-fifth of the population. It pays for about half of all nursing care in the United States, and 40 percent of all births.

The program has grown especially quickly over the last 15 years, as millions joined through the expansion of the Affordable Care Act to cover healthy adults who earn less than 138 percent of the federal poverty line, about $21,597 for an individual and $36,777 for a family of three. The rolls swelled again during the coronavirus pandemic, when Medicaid extended emergency coverage to millions.

Republicans have not yet specified what policy changes they would make to Medicaid. Options discussed include requiring enrollees to be employed, or dialing down funding for the Affordable Care Act’s expansion, which made millions of adults eligible for coverage. A work requirement would be expected to cut Medicaid spending by about $100 billion over the next decade, as those unable to comply — or to file the correct paperwork showing their employment — would lose coverage.

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In a statement, Representative Rogers of Kentucky described claims his party would gut the program as “lies promoted by House Democrats.”

“We are on a mission to cut waste, fraud and abuse of taxpayer dollars, so that we can protect the future of programs like Medicaid for years to come,” he said.

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Medicaid enrollment rates, by congressional district

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Large cuts to Medicaid would likely hit dense urban areas that tend to vote for Democrats. The congressional district that covers part of the Bronx in New York, for example, has one of the highest Medicaid enrollment rates in the country, with the program covering 67 percent of the people who live there. A district that covers part of Los Angeles has more than half its residents enrolled in the program.

Of the 10 congressional districts with the highest share of residents enrolled in Medicaid, nine are held by Democratic legislators.

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Districts with the highest Medicaid enrollment rates

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Note: Margin of victory not shown for representatives who faced another member of the same party on the November ballot.

There are also pockets of the country that rely significantly on the program where voters favor Republicans. Of the 218 seats Republicans control in Congress, 26 are in districts where Medicaid covers more than 30 percent of the population, according to a New York Times analysis of federal enrollment data.

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All 26 of those representatives voted in favor of the House budget this week.

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Republican districts with highest Medicaid enrollment rates

Note: Margin of victory not shown for Republican representatives who faced another Republican on the November ballot.

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Their districts are scattered across the country, from Alaska to West Virginia. The list includes the Louisiana district held by Speaker Mike Johnson, where 33 percent of residents are enrolled. All are in states that participate in the Medicaid expansion. Republicans have considered scaling back funding for that program, which would save the federal government about $500 billion over the next decade — but also leave people in many states without coverage.

While President Trump has repeatedly said over the last week he would not cut Medicaid, Republican legislators don’t have many options for looking for those cuts elsewhere. Some have already expressed concern about cuts to the program. Last week, seven Republican members of the Congressional Hispanic Conference sent Speaker Johnson a letter warning that “slashing Medicaid would have serious consequences, particularly in rural and predominantly Hispanic communities.”

As the second Trump administration has gotten underway, health care has not been a top issue for the president’s voters. It ranked as the fifth-most-important issue to them in a January poll from The New York Times and Ipsos, behind immigration, the economy, inflation and taxes.

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In January, Michael Perry, a founder of the polling firm PerryUndem, conducted three focus groups with Medicaid enrollees who voted for President Trump, noting that most did not list health care among their top voting issues.

When he brought up the idea that Republicans were exploring cuts to Medicare, some said they did not think the president would ultimately cut their health coverage because he would want to avoid a backlash. But other voters, he said, expressed concern. “They liked Medicaid, said it made a difference in their lives,” Mr. Perry said. “It wasn’t hard for them to put their finger on what Medicaid had done.”

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Video: Tulsi Gabbard Resigns as Intelligence Chief

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Video: Tulsi Gabbard Resigns as Intelligence Chief

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Tulsi Gabbard Resigns as Intelligence Chief

Tulsi Gabbard, the director of national intelligence, announced on social media on Friday that she would be leaving her post to care for her husband, who is battling an “extremely rare form of bone cancer.”

I’m honored and grateful to President Trump for his trust and confidence in nominating me to serve our country as the director of national intelligence, at a time when trust in the intelligence community, unfortunately, is at an all-time low.

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Tulsi Gabbard, the director of national intelligence, announced on social media on Friday that she would be leaving her post to care for her husband, who is battling an “extremely rare form of bone cancer.”

By Jamie Leventhal

May 22, 2026

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Military families demand DOJ distribute nearly $800M from French cement company found guilty of bribing ISIS

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Military families demand DOJ distribute nearly 0M from French cement company found guilty of bribing ISIS

NEWYou can now listen to Fox News articles!

In November 2017, Chief Petty Officer Kenton Stacy was injured in Raqqa, Syria while clearing the second floor of a hospital that ISIS had booby trapped with explosives. 

Now a quadriplegic, Stacy, his wife Lindsey, and their 4 children are part of a lawsuit brought by military families against the French cement company, Lafarge, recently found guilty by a French Court of paying millions of dollars in bribes to ISIS to keep their factory open in ISIS-controlled territory in Syria. 

“I mean, they were essentially funneling money to fund terrorists and ISIS and all these heinous crimes and evil acts,” Lindsey Stacy told Fox News while standing by the side of her husband, the former Navy Explosives Ordnance Disposal (EOD) specialist, who just had another surgery to deal with injuries sustained in Syria 9 years ago. 

“It’s very overwhelming, Kenton struggles mentally and physically with his own battles and the kids and I. We have our own struggles,” she continued. “It’s hard to juggle, especially when our oldest son has cerebral palsy, and he requires his own 24-7 care.”

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SENATORS CALL ON BIDEN TO BRIEF UPPER CHAMBER ON EFFORTS TO RETURN AUSTIN TICE FROM SYRIA

Lafarge pleaded guilty to paying $17 million to the Islamic State group to keep a plant in Syria open, the Justice Department announced in federal court in New York City on Nov. 14, 2017. (Christophe Ena/AP)

President Trump praised Stacy’s service to the nation in his 2018 State of the Union Address to Congress. Army Staff Sergeant Justin Peck bounded into a booby-trapped building to rescue Kenton and then gave him more than 2 hours of CPR while medics worked to save his life.

“Kenton Stacy would have died if not for Justin’s selfless love for a fellow warrior. Tonight, Kenton is recovering in Texas. Raqqa is liberated.…All of America salutes you.”

In a landmark ruling in April, a French court convicted Lafarge, the world’s largest cement manufacturer, of providing material support to a terror group and sentenced its former CEO to 6 years in prison. Eight former Lafarge employees were found guilty. Lafarge is appealing.

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The company acknowledged the court’s finding describing the issue as a “legacy matter,” which was “in flagrant violation of Lafarge’s Code of Conduct.”

Nearly 1,000 plaintiffs, most of them military families, are part of earlier litigation in the Eastern District of New York.

“They were killed in Syria by a gruesome terrorist organization that was funded in part by Lafarge. And that’s not an allegation. That is undisputed fact. Lafarge pled guilty to doing that in 2022.”

Todd Toral, the lawyer from Jenner & Block, is representing Stacy and about 25 other families.

Toral, who is also a US Marine, is seeking compensation for those families from the $777 million Lafarge paid to the Justice Department as part of the settlement. The DOJ has had that money since Oct 2022.

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“I think the ruling by the court in France is significant generally, because it’s the first time in many, many years that a corporation, and not just the corporation, but executives at a corporation have been held to account for their misconduct in aiding terrorism,” Toral said in an interview with Fox.

In order to operate in ISIS-controlled areas of Syria, Lafarge paid more than $6.5 million to ISIS from 2013–2014 through its Syrian subsidiary to keep production facilities running. The cement produced at its factory in Jalabiya, a factory which was bought for $680 million months before the Syrian uprising began in 2011, was also used for tunnels and bunkers, which helped the terrorist group.

The lawsuit is significant because it marks the first time a company has faced U.S. charges for supporting a terrorist group.

DOJ ACCELERATES SETTLEMENT OFFERS IN CAMP LEJEUNE WATER CONTAMINATION CASES

President Donald Trump arrives at the commencement ceremony on Cadet Memorial Field at the United States Coast Guard Academy in New London, Conn., on May 20, 2026. (Chip Somodevilla/Getty Images)

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In October 2022, Lafarge settled with the DOJ before the French ruling, paying more than $777 million into an asset forfeiture fund currently controlled by the DOJ, funds which are supposed to compensate victims of the ISIS attacks, many of them American Gold Star families, like Hailey Dayton, whose father was the first American killed by ISIS in Syria on Thanksgiving Day 2016.

“I was 15 when my dad was killed,” Hailey Dayton told Fox from her home in Florida. “I saw six guys in Navy white step out of the van. I got so excited because I thought my dad came back to surprise us. I remember opening the door, huge smile on my face, and I was looking at the men, trying to find my dad and I didn’t find, I didn’t see him, but instead I saw six guys with tears in their eyes.” 

The Biden Justice Department denied requests to distribute the Lafarge funds while the case was still pending before a French Court. Lafarge was found guilty by that court in April. In February, Rep. Andy Biggs, R-Ariz., pressed then-Attorney General Pam Bondi on when the DOJ planned to release the funds to the families.

“In February 2025, my colleagues and I sent you a letter urging the department to review the petitions for remission submitted by the families of those fallen service members, including several of my constituents. The previous administration ignored these victims and our requests and left their petitions unresolved,” Biggs asked Bondi during a Congressional hearing.

“Congressman, we are aware of that and we’re committed to doing everything we can to support the victims and work with you. Thank you for that question,” Bondi replied. That was more than a year ago and the DOJ has still not distributed the compensation funds.

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Now the plaintiffs, most of them military families, say the decision to release the funds rests with Acting Attorney General Todd Blanche.

“I don’t know why. I don’t know why they’re ignoring us. To me, it feels like being a pawn. My dad, he went in when he was 19, he served 23 years,” Dayton, the Gol Star daughter of Chief Petty Officer Scott Dayton, said.

“To the current Department of Justice, I would, say, make things right.” 

Lindsey Stacy, who says she and her family have difficulty making ends meet given Kenton Stacy’s severe injuries, added, “There’s a lot of families out there that could benefit from these funds. I mean, it’s been almost nine years. It would be nice to, you know, for justice to be served.”

FREEDOM ISN’T FREE: HONOR THOSE WHO NEVER CAME HOME ON THIS MEMORIAL DAY

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Deputy Attorney General Todd Blanche attends a news conference at the Justice Department in Washington, D.C., on Nov. 19, 2025. (Andrew Harnik/Getty Images)

 “They have been convicted recently in their own country, guilty. It has been a long battle, but it’d be nice just for it to come to an end, get some closure and be able to just take care of our family,” she added. “I mean he made a huge sacrifice for our country and it would just be nice if they’d stand right by us and all the other co-plaintiffs.”

“We can think of no group of people who are more worthy of receiving compensation from that victim’s compensation fund than these families who lost a son, lost a brother, lost a husband, and they deserve to be treated better by the United States of America,” Toral, who continues to press his clients’ case said in an interview ahead of Memorial Day Weekend.

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The Department of Justice, which controls the $777 million dollars in penalties forfeited by Lafarge, issued the following statement: 

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“The Department is committed to compensating all victims to the maximum extent permitted by law. While we cannot comment on a pending matter, the Department will always engage in the appropriate process to evaluate claims and ensure that our brave servicemembers receive any amount of compensation to which they are entitled.”

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‘A bridge too far?’: As GOP senators revolt, Trump defends fund and attacks defectors

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‘A bridge too far?’: As GOP senators revolt, Trump defends fund and attacks defectors

For much of Donald Trump’s second term, Republican senators have largely stayed in line, wary of defying a president with a history of targeting those who cross him. This week, that dynamic noticeably shifted.

Senate Republicans blocked two of Trump’s legislative priorities, angered by the push to create a $1.8-billion federal fund to compensate people who claim to have been politically persecuted, including rioters who assaulted the U.S. Capitol on Jan. 6, 2021. The revolt forced Republican leaders to pull a planned vote on legislation to fund the president’s immigration crackdown and security features for his White House ballroom project.

In response, the president defended the fund and lashed out at its critics.

“I gave up a lot of money in allowing the just announced Anti-Weaponization Fund to go forward,” Trump wrote in a post on his social media website. “Instead, I am helping others, who were so badly abused by an evil, corrupt and weaponized Biden Administration, receive, at long last, JUSTICE”!

The president also called Republican senators who broke with him quitters who are “screwing the Republican Party.”

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The friction, which has been building for weeks, is being watched as a potential test of the limits to Trump’s grip on his party amid an already tense political environment heading into the midterm elections.

“This is kind of a perfect storm,” former Sen. Jeff Flake (R-Ariz.) said on NBC’s “Meet the Press.” “It may be that this time you can point to it and say this is when the great migration begins, away from some of the president’s policies and away from the fear that the president can target you.”

Whether this week marks the beginning of that moment — or simply another episode of political turbulence that fades — is the central question now hanging over Trump’s second term.

Not the first break — but an escalation

This is not the first time Republicans have broken with the president. In November, Congress overwhelmingly voted to force the Justice Department to release the Jeffrey Epstein files, an effort that Trump unsuccessfully tried to thwart for months.

The Epstein vote showed that on the right issue, under the right circumstances, Republicans could be moved to defy Trump. This week, the creation of the fund changed the circumstances again, and the number of Republican senators willing to act quickly grew.

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This moment comes after months of rising costs during the war in Iran, efforts by the president to oust members of his own party and now a set of proposals that are proving hard to defend in an election year.

“What you have is basically a bunch of people who feel a bit under siege,” said Bob Olinsky, the senior vice president of Structural Reform and Governance at the Center for American Progress. “At the same time, they know that most of what the president is doing is unpopular, and they’re the ones who are going to be standing for reelection in November.”

Republicans push back

Senate Republicans leaders are now asking the Department of Justice to reconsider the terms of the fund, underscoring just how politically toxic the idea has become within the president’s party.

Sen. Kevin Cramer (R-N.D.) told reporters that politically speaking, the fund is “unexplainable.” Sen. Susan Collins (R-Maine) told the New York Times that the fund should be in real trouble. Sen. Mitch McConnell (R-Ky.) called the fund “utterly stupid” and “morally wrong.”

Sen. Thom Tillis, a North Carolina Republican whom Trump has singled out for going against him, was equally unsparing, saying he opposed “using billions of taxpayer dollars to compensate convicted felons and thugs who attacked police.” He also criticized the administration for pushing domestic and foreign policy issues that he says are bad for housing and the military.

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“If opposing these things makes me a RINO [Republican in Name Only], then I gladly accept that nickname,” Tillis wrote on X. “We need Republicans to do well in November, but the stupid stuff is killing our chances!”

The GOP pushback comes at a time when concern about self-dealing runs deep across the electorate.

A recent Economist/YouGov poll found that 59% of Americans believe Trump is using his office for personal gain, though that belief is sharply divided along partisan lines. A CNN poll found that 37% of Americans say Trump puts the good of the country above his personal gain, while 32% say he is in touch with the problems of ordinary Americans.

Asked whether the political environment influenced the actions this week, Senate Majority Leader John Thune (R-S.D.) told reporters that there is a “political component to everything we do around here.”

Funds and tax immunity clauses

Senate Democrats are wondering whether the fund will mark a watershed moment for Republicans.

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“Have Republicans finally found a bridge too far?” Sen. Dick Durbin (D-Ill.) said to reporters after Republicans left Washington without funding Trump’s priorities.

Democrats have called the fund an illegal abuse of power designed to line the pockets of Trump’s allies with taxpayer dollars. Sen. Chris Van Hollen (D-Md.) called it a “pure theft of public funds.”

The fund was created as part of a settlement resolving a $10-billion lawsuit Trump brought against the Internal Revenue Service over the leak of his tax returns. Alongside it, the deal says the IRS is “forever barred and precluded” from pursuing any tax claims against Trump and his businesses that were filed before May 19.

Under the tax immunity clause, Trump and his family could save more than $600 million, according to an analysis by Forbes.

The fund, however, has been the target of most of the bipartisan ire. Mostly because Trump and administration officials have not ruled out that it could stand to benefit people who carried out violence during the Jan. 6 riot.

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The public funds, if disbursed, would come from the federal judgment fund, which is a Congress-approved ongoing appropriation that allows the Justice Department to settle cases and make payouts. In the past, Republicans have taken issue with the fund. The GOP-controlled House Judiciary Committee characterized it an abuse in 2017.

Several of the president’s allies have already talked about tapping into the fund.

Michael Cohen, Trump’s former attorney who served prison time in relation to campaign finance violations, said he plans to apply for compensation.

Former Proud Boys leader Enrique Tarrio, who was convicted of seditious conspiracy and later pardoned by Trump, told CBS News that he would seek a payout from the fund.

“I was targeted,” Tarrio said. “And I do believe that this fund does apply to me.”

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