Politics
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.
Share of population enrolled in Medicaid
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
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.
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.
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.
Medicaid enrollment rates, by congressional district
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.
Medicaid enrollment
David Valadao
Ritchie Torres
Jim Costa
Sydney Kamlager-Dove
Raul Ruiz
Adam Gray
Alexandria Ocasio-Cortez
Jimmy Gomez
Luz Rivas
Adriano Espaillat
Note: Margin of victory not shown for representatives who faced another member of the same party on the November ballot.
Districts with the highest Medicaid enrollment rates
District
Representative
Margin
Calif. 22nd
68%
R+7
N.Y. 15th
67%
D+55
Calif. 21st
61%
D+5
Calif. 37th
56%
D+57
Calif. 25th
55%
D+13
Calif. 13th
55%
D+0.09
N.Y. 14th
53%
D+38
Calif. 34th
53%
D
Calif. 29th
52%
D+40
N.Y. 13th
52%
D+67
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.
All 26 of those representatives voted in favor of the House budget this week.
Medicaid enrollment
David Valadao
Jay Obernolte
Hal Rogers
R
Uncontested Doug LaMalfa
Cliff Bentz
Dan Newhouse
Nick Begich
Nicole Malliotakis
Julia Letlow
Clay Higgins
Vince Fong
Mike Johnson
Note: Margin of victory not shown for Republican representatives who faced another Republican on the November ballot.
Republican districts with highest Medicaid enrollment rates
District
Representative
Republican Margin
Calif. 22nd
68%
R+7
Calif. 23rd
47%
R+20
Ky. 5th
44%
Calif. 1st
42%
R+31
Ore. 2nd
40%
R+31
Wash. 4th
38%
R
Alaska At-Large
36%
R+2
N.Y. 11th
34%
R+28
La. 5th
34%
R
La. 3rd
34%
R
Calif. 20th
33%
R
La. 4th
33%
R
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.
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.”
Politics
Clinton judge indefinitely blocks Trump’s $1.776B anti-weaponization fund
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A federal judge on Friday indefinitely blocked the Trump administration’s $1.776 billion Anti-Weaponization Fund, even as another federal judge earlier this week declined to intervene after the Justice Department said the fund was no longer moving forward.
The court disputes have heightened pressure on the administration to formally dismantle the fund. While Deputy Attorney General Todd Blanche told Congress the fund would not move forward, the settlement agreement and departmental directives that created the fund have not been formally rescinded. Critics argue this leaves open the possibility that the fund could still proceed in the future.
U.S. District Judge Leonie Brinkema, a Clinton-appointed judge, extended a court order Friday preventing implementation of the fund, concluding that public assurances from administration officials were insufficient to eliminate concerns that it could later be revived.
Brinkema noted how Trump, “says he’s disappointed that something is not going forward,” suggesting this was evidence that the fund may “rear its head” at some point in the future.
JUDGE TEMPORARILY BLOCKS TRUMP DOJ’S NEARLY $2B ‘ANTI-WEAPONIZATION’ FUND
President Donald Trump signs an executive order during an event in the Oval Office of the White House in Washington, D.C., on June 3, 2026. (Kevin Dietsch/Getty Images)
Over the weekend Trump shared on “Meet the Press” that he’d like to continue with the fund.
“If it was up to me, I’d pay them the kind of money that they deserve. People have been destroyed. Lives have been destroyed,” Trump said.
Brinkema gave the Justice Department a week to put in writing that the Anti-Weaponization Fund is being terminated and will not be reinstated.
The ruling comes days after U.S. District Judge Richard Leon rejected a separate request from Citizens for Responsibility and Ethics in Washington (CREW) seeking emergency intervention, saying he was willing to rely on Justice Department representations that the fund had effectively been abandoned.
ACTING AG BLANCHE REVEALS FATE OF TRUMP’S ‘ANTI-WEAPONIZATION FUND’ UNDER PRESSURE FROM HOUSE LAWMAKERS
But Leon, a George W. Bush-appointed judge, simultaneously warned administration officials not to treat his decision as permission to revive the program.
“I give the Justice Department this warning: Don’t play possum with me,” Leon said from the bench.
Blanche announced during a hearing earlier this month that the Anti-Weaponization Fund, which was born out of President Donald Trump’s lawsuit settlement with the IRS, would not be proceeding. The fund was intended to compensate alleged victims of government “lawfare,” but its creation sparked immediate backlash from Democrats, who characterized it as a “slush fund” that could ultimately benefit Trump’s political allies and individuals charged in the Jan. 6 Capitol riot.
TRUMP ADMIN PUSHES BACK ON ‘SLUSH FUND’ ATTACKS AGAINST ANTI-WEAPONIZATION FUND AND LAYS OUT WHO QUALIFIES
FILE – Acting U.S. Attorney General Todd Blanche was directed to obtain a certificate of pardon for Buyer. (Andrew Harnik/Getty Images)
Justice Department attorney Andrew Block argued before Leon that Blanche’s congressional testimony effectively mooted CREW’s challenge because the government had publicly committed not to move forward.
Leon repeatedly questioned why Blanche has not formally rescinded a May 18 order that established procedures for the fund in the first place, a question Block could not answer.
CREW attorney Nikhel Sus argued the settlement agreement that established the fund remains legally operative and contains upcoming deadlines requiring action.
WAY HARDER THAN IT SHOULD BE: WHY CONGRESS MAY BALK ON $1.7B COMPENSATION FUND
Acting U.S. Attorney General Todd Blanche testifies during a House Committee on Appropriations subcommittee hearing in the Rayburn House Office Building in Washington, D.C., on June 2, 2026. (Andrew Harnik/Getty Images)
According to Sus, a five-member board overseeing the fund must be established by June 17, while funding transfers are scheduled by July 17.
“On paper, the fund is still a legally operating entity,” Sus argued.
However, Leon ultimately accepted the government’s assurances for now that the fund is moot, but he noted that he can sanction attorneys who make false representations to the court.
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He also indicated he will continue considering CREW’s request for a preliminary injunction and suggested he could intervene if evidence emerges that the administration is attempting to revive the fund.
Politics
Trump’s quiet crackdown: Fewer ICE raids, harsher rules push immigrants to leave
WASHINGTON — A year after the Trump administration kicked off its aggressive immigration enforcement tour with military-style raids across greater Los Angeles, federal officials have veered toward a less flashy but broader strategy: making immigrants’ lives harder so they will leave.
The changes range in scale and scope, from disqualifying immigrants from certain jobs to indefinitely pausing the processing of visa applications. They target those lawfully present as well as the undocumented.
Since President Trump’s second term began, the administration has used executive orders and federal regulations to chip away at services or benefits, such as work permits and small business loans, that immigrants could obtain in the past.
Now, immigrants are finding that freedoms — the ones that once made the U.S. a desirable place to start over — are disappearing. Many are retreating back into the shadows as they fear previously routine tasks, such as traveling across states, filing taxes and seeking medical care.
“The priority is to force people to leave the country or not come, regardless of legal status or really any other criteria,” said David Bier, immigration studies director at the Libertarian think tank the Cato Institute. “They’re taking a sledgehammer to the system.”
Trump won the White House in part on his promise to clamp down on illegal immigration, but recent polling shows support for his agenda has waned, especially after immigration agents shot and killed two U.S. citizens in Minneapolis.
In a statement, White House spokesperson Abigail Jackson said Trump’s highest priority has always been the deportation of immigrants with criminal records. The Department of Homeland Security said Trump also prioritizes immigration that strengthens the country financially, socially and culturally.
President Trump displays the signed “Secure America Act” during a ceremony in the Oval Office on Wednesday. The act provides $70 billion for immigration enforcement and border-security agencies.
(Aaron Schwartz / CNP, Bloomberg)
The number of arrests by ICE agents has declined. On average, ICE arrested about 1,000 immigrants per day in early March, down from a peak average of just under 1,400 in mid-January, agency data show. And there are fewer detained immigrants — facilities across the country held about 60,000 detainees in April, compared to more than 70,000 in late January.
The downturns prompted some Trump loyalists to say the administration is failing to fulfill his signature promise, which is an assertion the administration rejects.
“ICE is NOT slowing down,” said Homeland Security spokesperson Lauren Bis. “Since Day One, DHS law enforcement has been delivering on President Trump’s promise to the American people to arrest and deport criminal illegal aliens.”
At a border security conference last month, Tom Homan, who leads border policy for the White House, suggested immigration agents would return to more muscular enforcement tactics.
“You ain’t seen s— yet,” he told the audience.
But along with focusing on deportations, the administration is deploying other tactics to deter illegal — and legal —immigration.
ICE agents confront protesters on June 8 as they gather outside the federal immigration center at Delaney Hall in Newark, New Jersey, where ICE is housing detained immigrants.
(Spencer Platt / Getty Images)
Curtailing visas
Last month, the Department of Homeland Security announced that “except in extraordinary circumstances,” immigrants seeking lawful permanent residency must leave the U.S. to complete the process. After a backlash, the administration defended the policy, saying it won’t prevent anyone who qualifies for a green card from getting one.
U.S. Citizenship and Immigration Services, the agency in charge of processing immigration benefits, has upped security screening since Trump took office. The agency says that’s to root out fraud, but critics say all it does is unnecessarily slow down a system that already vets applicants vigorously.
The administration indefinitely banned people from 75 countries from receiving immigrant visas, which allow people to move permanently to the U.S.
In a similar move, the government halted the processing of immigration applications for people from 39 countries and who are already in the U.S. On June 5, a federal judge struck down the policy in a scathing ruling that said the administration “justifies its actions with pretextual concerns of ‘national security’ that mask anti-immigrant sentiments.”
Children of Guatemalan origin, from left, Areimy, Mariela and Enrique, arrive at Miami International Airport on Dec. 4, 2025, as they prepare to leave the United States to reunite with their recently deported parents in Guatemala.
(Chandan Khanna / AFP via Getty Images)
The judge’s ruling may offer relief, but for many immigrants, the effects of the policy are devastating. Armin, a 42-year-old from Iran, said he has racked up more than $15,000 in debt since the pause took effect in December. Armin asked The Times not to fully identify for fear of jeopardizing his immigration case.
The nutritional scientist came to the U.S. in 2019 on a student visa and has a pending green card application under a provision that allows certain highly skilled immigrants to apply for permanent residency without needing an employer to sponsor them.
After receiving his PhD and completing a postdoctoral program, Armin was in between jobs when he received a research grant in November. But with the processing of his work authorization halted, the university that issued the grant said it couldn’t hire him as a research associate. In February, he was turned down for another job.
Armin said he is confused about why the administration won’t differentiate between legal immigrants and those who should be deported.
“I can’t believe it,” he said. “I’m doing research and my research has national interest benefits. You expect support from the government. Unfortunately they don’t differentiate. They don’t care about your resume.”
Bier said the visa policies affect half of all legal immigrants coming from abroad. He published a report in April about how Trump has cut legal immigration far more than illegal immigration, noting that the administration’s policies have led to big drops in visas for international students, high-skilled workers and refugees.
“The legal immigration system is being used as a means to carry out the mass deportation agenda,” he said.
Alessandro Negrete, who lived most of his life in the U.S. undocumented, crosses into Mexico after deciding to leave.
(Robert Gauthier / Los Angeles Times)
Encouraging self-deportation
More than 90,000 immigrants have been granted voluntary departure since the start of the Trump administration, according to federal immigration court data through April that was analyzed by TRAC, a data research organization. Voluntary departure avoids official deportation and can leave open the possibility of an immigrant returning to the U.S. legally.
Homan, who declined to be interviewed for this story, has said self-deportations were part of the administration’s immigration plan all along.
“We knew if we surged unlimited ICE resources in the interior, and we do these operations, that that will force those that are here illegally to leave on their own,” he recently told the Washington Examiner.
Halting work permits
In the past, asylum seekers and others with deportation protections have had the ability to seek permits to work legally in the U.S. But work is now an administration target.
One proposed regulation would prevent asylum seekers from working legally in the U.S. Another proposal, published Friday, would further restrict access to work permits for other immigrants.
Under a rule that took effect last month, asylum seekers pay an annual $102 fee within 30 days of receiving a notice from U.S. Citizenship and Immigration Services. If the deadline is missed, their applications will be rejected — with no opportunity to appeal — and they could be placed in deportation proceedings. Those who apply for asylum with the agency have entered the U.S. legally, such as on a visa, and are not undocumented.
Asylum seekers rest at a Tijuana migrant shelter a day after President Trump began his second term in the White House.
(Robert Gauthier/Los Angeles Times)
Conchita Cruz, co-executive director of the Asylum Seeker Advocacy Project, said many asylum applicants have not received notice that the fee is due.
Cruz said she believes the Trump administration is using these changes as an excuse to dismiss people’s asylum claims. While the president has the power to decide whether to offer or rescind humanitarian programs, such as Temporary Protected Status, the right to seek asylum is enshrined in law.
“We’re worried this is a pretext for people to fall out of the asylum system and fall out of the workforce,” she said.
The processing of work permits has already been slowed, leaving many immigrants who still qualify for employment authorization unable to work.
During a House Homeland Security Committee hearing last week, Rep. Lou Correa (D-Santa Ana) asked Homeland Security Secretary Markwayne Mullin to help him speed up the work permit renewals for two police officers who were recently fired by agencies in his district because their DACA status expired.
Mullin said he would help but that Congress ultimately must pass a permanent solution for DACA recipients.
“These are police officers on Main Street, sir,” Correa responded.
“Not all of them are,” Mullin said. “I’m not just going to wave a magic wand and fix them all.”
“You have that magic wand — that’s your job,” Correa said.
It wasn’t just Democrats complaining about slow processing. Rep. Gabe Evans (R-Colo.) similarly asked Mullin for help because many of his constituents — “farm workers, youth ministers, nurses, grocery store business managers” — who have lived and worked in the U.S. legally for decades are now having trouble renewing their visas.
Secretary of Homeland Security Markwayne Mullin, left, and President Trump, center, walk to the motorcade after exiting Air Force One at Joint Base Andrews, Maryland, on May 20.
(Kent Nishimura / AFP via Getty Images)
Calls for mass deportations
Mullin, who took the reins in March after Trump fired his predecessor, Kristi Noem, rolled back some of Noem’s policies, including telling agents to stop entering homes without judicial warrants and canceling some contracts she had initiated.
But the changes and the downturn in arrests have drawn criticism from some fervent Trump supporters.
“Trump’s legacy is tied up in this,” said Mike Howell, a former DHS attorney who founded a group called the Mass Deportation Coalition. “It’s going to be hard to tell a younger voter to get excited to show up when one of their top issues is mass deportation and, a year and a half in, it doesn’t appear it’s going full-steam ahead.”
Howell said enforcement at work sites is critical to scaling up arrests and deportations. That more such operations haven’t happened, he said, is a political decision to appease wealthy donors and special interest groups who don’t want to see their workers deported.
The architect of Trump’s immigration agenda is Stephen Miller, a top White House aid who has called for a “moratorium on immigration from third-world countries,” demanded 3,000 arrests per day and said that immigrants and their descendants “recreate the conditions, and the terrors, of their broken homelands.”
Royce Bernstein Murray, a former Homeland Security official who worked on immigration policy under the Biden administration, said the winding down of flashy enforcement surges has given the administration more time to “focus on tearing down the legal immigration system.”
“This is Stephen Miller’s sweet spot,” she said. “He was never in enforcement — he’s a policy guy. This is really an opportunity for him to make good on all he has planned for years.”
While ICE has, in recent months, returned to its more conventional targeted enforcement tactics, Homan has sought to make clear that mass deportations are still a goal.
“For the people out there saying ‘President Trump’s getting weak on mass deportation,’ you don’t know what the hell you’re talking about,” Homan said at the border expo.
On Monday, Homan told Fox News that he had just reviewed plans for an ICE operation that would surge agents to New York City.
Politics
Video: Trump Claims Deal With Iran Is Close and Retracts Threat to Attack
new video loaded: Trump Claims Deal With Iran Is Close and Retracts Threat to Attack
transcript
transcript
Trump Claims Deal With Iran Is Close and Retracts Threat to Attack
President Trump said he had canceled the next wave of attacks on Iran after two days of U.S. airstrikes, claiming that peace negotiations had progressed.
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Most importantly, we have a deal that Iran will never have a nuclear weapon, which was the whole purpose of what we had to go through to get this. So it was a big, very big thing. The strait will officially open as soon as we sign, which could be soon, very soon, maybe over the weekend. In Europe, I won’t be able to be there, but JD will be there — vice president and some of the people.
By Meg Felling, James McManagan and Julie Yoon
June 11, 2026
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