[S]he is also fighting back against the draconian Medicaid cuts made through the Big Ugly Bill, which are putting long term care further out of reach for seniors across the country.
Fight Medicaid cuts that put long-term care out of reach for seniors.
Occurrences
The lawmakers stressed that millions of Americans rely on HCBS, and that cuts to these services would threaten access to necessary care.
Evidence
Medicaid.gov says over 30% of 2020 Medicaid spending was on long-term care services and that Medicaid is the primary payer across the nation for long-term care services, including for seniors needing long-term care because of disabling conditions and chronic illnesses.
On May 4, 2017, the House voted on passage of H.R. 1628, the American Health Care Act. The bill passed 217-213; Rep. Dingell, Democrat of Michigan, voted No.
Congress.gov lists H.R. 1628 as passed by the House but not enacted. Its summary says the bill reduced FMAP for Medicaid home- and community-based attendant services and supports, eliminated enhanced FMAP for ACA Medicaid expansion adults beginning in 2020, and changed Medicaid eligibility and benefits provisions.
CBO and JCT estimated the House-passed AHCA would increase the number of uninsured by 23 million in 2026. CBO said the largest savings would come from reductions in outlays for Medicaid and replacement of ACA subsidies.
Congress.gov records H.R. 1 became Public Law 119-21 on July 4, 2025. The public-law summary includes a Medicaid chapter with provisions on eligibility redeterminations, nursing facility or other long-term care home-equity limits, delay of CMS minimum staffing standards for Medicare and Medicaid long-term care facilities, provider-tax limits, and Medicaid community engagement requirements.
On May 22, 2025, the House voted on passage of H.R. 1, the One Big Beautiful Act. The bill passed 215-214, with one present; Rep. Dingell, Democrat of Michigan, voted Nay.
On July 3, 2025, the House voted on the motion to concur in the Senate amendment to H.R. 1, the One Big Beautiful Bill Act. The motion passed 218-214; Rep. Dingell voted No.
CBO estimated that policies in H.R. 1 as passed by the House would increase the number of uninsured people by 10.9 million in 2034; Medicaid provisions in the Energy and Commerce title accounted for 7.8 million of that increase. CBO identified Medicaid work requirements, more frequent redeterminations, and provider-tax restrictions among the drivers.
Assessments
The promise was framed as fighting Medicaid cuts, not guaranteeing that no Medicaid reductions would ever pass. As a federal House member, Dingell voted against the 2017 AHCA, a major Medicaid-cutting bill with long-term-care-related Medicaid changes, and that bill was not enacted. She later also voted against 2025 H.R. 1, which did become law despite her opposition. Because she took direct official action against major Medicaid-cutting legislation during the relevant House term, the promise is best scored as delivered with same_term timing, even though later cuts passed over her opposition.