I want to return to Washington to continue the fight for the values that we hold dear—protecting Medicaid and Medicare, strengthening Social Security, insuring that all Americans have access to quality and affordable health care, and fighting for the returning veterans that have fought for us.
Protect Medicaid and Medicare.
Occurrences
Evidence
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I am a strong believer that healthcare is a right, not a privilege... Constituents and providers agree that we can’t go back on the promise of the Affordable Care Act. Instead, Congress should focus on improving our healthcare system by reducing costs and increasing coverage... For the first time in history, we beat the special interests and allowed Medicare to negotiate lower prescription drug prices for our seniors.
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Terri A. Sewell is listed among the cosponsors of H.R. 4595, the Medicaid Saves Lives Act, which would create a federal Medicaid-style program for those living in states like Alabama that have refused to expand Medicaid.
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Rep. Sewell signed a discharge petition that would force an up-or-down vote in the House to protect Medicaid and food assistance from devastating budget cuts.
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On passage of H.R. 498, the Do No Harm in Medicaid Act, the vote record shows Rep. Sewell (AL) voted Nay.
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Rep. Sewell said the Nancy Gardner Sewell Medicare MCED Screening Coverage Act has been signed into law and that it "creates a pathway for Medicare to cover MCED screenings once FDA approved."
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Sewell’s office will host Mobile Office Hours in May 2026; staff will help constituents with Social Security, veterans’ benefits, Medicare and Medicaid. Wilcox County session: May 27, 2026.
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Sewell's staff will offer help and information on Social Security, Veterans’ benefits, Medicare and Medicaid at multiple May 2026 mobile office hours (Wilcox County event listed May 27, 2026).
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6/9/26 Rep. Sewell Votes Against Republican Reconciliation Bill
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My office can help you with determining Social Security benefits, as well as Supplemental Security Income (SSI) and Medicare eligibility... Medicaid
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"introduced the Affordable Premiums for Seniors Act"
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"Full Title To require the Secretary of Health and Human Services to continue the Part D Premium Stabilization Demonstration under the Medicare program. Sponsors Terri A. Sewell(AL)"
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"Today, on World Cancer Day, U.S. Rep. Terri Sewell (AL-07) celebrated the signing of H.R. 842, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection (MCED) Screening Coverage Act, into law."
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"Rep. Sewell, Terri A. [D-AL-7] 09/08/2025"
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"Rep. Sewell, Terri A. [D-AL-7]* 03/11/2025"
Assessments
Sewell has materially acted to protect both programs while serving in the same federal office: she backed Medicaid-expansion legislation, signed a discharge petition to force a vote against Medicaid cuts, and voted against legislation she said would harm Medicaid. On Medicare, she also claimed credit for a narrower bill that became law and created a pathway for Medicare coverage of certain cancer screenings. But the promise was broad, and the record here shows a mix of defensive votes, sponsorship/cosponsorship, and constituent assistance rather than full delivered protection of Medicaid and Medicare as programs overall. That supports partial credit, not full delivery.
Sewell took multiple concrete actions to protect Medicare and Medicaid during her House service but did not achieve comprehensive statutory protections for both programs. Evidence shows a narrow Medicare win: the Nancy Gardner Sewell Multi-Cancer Early Detection Act (creating a pathway for Medicare coverage of MCED screenings) was signed into law (concrete delivery on a Medicare-related protection). For Medicaid she voted against H.R. 498, cosponsored H.R. 4595 (Medicaid Saves Lives Act), signed a discharge petition to force votes to block damaging cuts, and provided constituent services helping beneficiaries — all substantive efforts but without full enactment of broad Medicaid protections. Altogether this supports partial fulfillment: clear, same-term delivery on a specific Medicare improvement plus sustained legislative and constituent efforts to protect Medicaid that fell short of complete statutory resolution.
Sewell has taken repeated, concrete actions consistent with protecting Medicaid and Medicare while serving in the same federal office, including voting against a Medicaid-related bill characterized as harmful, signing a discharge petition to protect Medicaid from budget cuts, cosponsoring Medicaid expansion-style legislation, and helping advance a narrower Medicare coverage pathway for multi-cancer early detection screening that became law. However, the promise is broad and ongoing, and the evidence shows targeted protections and attempts rather than a comprehensive delivered outcome protecting both Medicaid and Medicare overall. This warrants partial credit, with an effort badge for serious legislative and procedural attempts.