We are committed to working with you to preserve Medicaid and identify responsible savings through deregulation, streamlining federal programs, and cutting administrative red tape.
Work to preserve Medicaid and find responsible savings through deregulation, streamlining federal programs, and cutting administrative red tape.
Occurrences
included my Save Our Safety Net Hospitals Act, preventing cuts that would have hit safety-net hospitals serving high numbers of Medicaid and uninsured patients across Suffolk County
Deficit Reduction Without Touching Social Security or Medicare. Closes the Medicaid provider tax loophole that allowed states to inflate federal reimbursements—ending a long-running budget gimmick. Requires able-bodied adults to work, volunteer, or train to receive Medicaid benefits, promoting accountability while preserving care for those truly in need. All without touching a penny of Social Security or Medicare.
Evidence
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LaLota to House GOP Leadership: Be Responsible and Compassionate When Reforming Medicaid. Rep. Nick LaLota (R-NY-01), joined fellow House Republicans in sending a letter to House Speaker Mike Johnson, GOP Majority Leader Steve Scalise, Majority Whip Tom Emmer, and Energy and Commerce Chairman Brett Guthrie, reaffirming their strong support for Medicaid, urging Republican leadership to protect coverage for vulnerable Americans and reiterating a vote of opposition to any GOP bill that includes any reduction in Medicaid coverage for vulnerable populations.
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The House advanced a bipartisan and bicameral Fiscal Year 2026 funding package that, according to LaLota, “strengthens national security, reins in federal bureaucracy, and delivers targeted investments.” The release also says the package has since been signed into law by President Trump and highlights LaLota’s Save Our Safety Net Hospitals Act, which modernizes the Medicaid DSH payment methodology, protecting safety-net hospitals while allowing greater flexibility for states to utilize these funds.
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LaLota said the One Big, Beautiful Bill Act “delivers the most significant tax relief for the middle class” and the release states it “Delays harmful Medicaid DSH cuts through 2029, preserving critical funding for hospitals like Stony Brook.”
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LaLota said the FY2026 NDAA includes priorities that “fundamentally reforms defense acquisitions - streamlining the process, cutting through red tape, and refocusing on its primary mission.”
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LaLota released a letter he led to HHS asking for a briefing on program operations, citing staffing shortages, treatment delays, appeals backlogs, and provider reimbursement problems, and asking how the administration would resolve these challenges while maintaining long-term stability through 2040.
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LaLota joined fellow House Republicans in sending a letter to House leadership, reaffirming support for Medicaid, urging leadership to protect coverage for vulnerable Americans, and opposing any GOP bill that includes reductions in Medicaid coverage for vulnerable populations.
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The homepage highlights LaLota joining House Republicans in a letter to leadership urging protection of Medicaid coverage for vulnerable Americans and opposing any GOP bill that reduces Medicaid coverage.
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LaLota said the FY26 funding package, later signed into law, reined in federal bureaucracy and included his Save Our Safety Net Hospitals Act, which modernizes Medicaid DSH payments and protects safety-net hospitals from cuts.
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LaLota led a letter asking HHS for a briefing on program operations, citing staffing shortages, treatment delays, and appeals backlogs and pressing for long-term program stability.
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LaLota joined House Republicans in a letter to GOP leadership urging protection of Medicaid coverage for vulnerable Americans and opposing any bill that would reduce Medicaid coverage for vulnerable populations.
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LaLota said the FY26 funding law included his Save Our Safety Net Hospitals Act, which modernizes Medicaid DSH payments and reduces federal bureaucracy.
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The House Clerk recorded H.R. 1, the One Big Beautiful Bill Act, passing 218-214 on July 3, 2025; Rep. LaLota (R-NY) is listed as voting Aye.
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CBO projected that uninsured people would rise from 30 million in 2026 to 37 million in 2036, largely because provisions of the 2025 reconciliation act are expected to reduce Medicaid and CHIP enrollment.
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The House Clerk recorded H.R. 1, the One Big Beautiful Bill Act, as passed on July 3, 2025, on the motion to concur in the Senate amendment, 218-214. The roll call lists Rep. Nick LaLota, Republican of New York, voting Aye.
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CBO described its estimate for the Medicaid chapter of Public Law 119-21 as enacted in July 2025 and estimated that the chapter would reduce the deficit by $886.8 billion over 2025-2034 while increasing the number of people without health insurance by 7.5 million in 2034.
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Bill Number: H. Res. 1530 ... Providing for consideration of the bills H.R. 9576 and H.R. 10326 ... Status: Passed ... LaLota | LaLota | Republican | NY | Aye
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The head of a State administering a program described in subsection (b) shall, upon receipt of a written request from the Attorney General, provide such information as the Attorney General may require for purposes of investigating or prosecuting alleged fraud committed with regard to such program. (b) Programs Described.--The programs described in this subsection are the following: (1) A State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) (or waiver of such plan).
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Roll Call 310 | Bill Number: H. R. 10326 Sep 16, 2026, 06:43 PM | 119th Congress, 2nd Session Vote Question: On Passage PROOF Act Status: Passed LaLota | LaLota | Republican | NY | Yea
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Last Action Date Listed September 17, 2026 Action Received; read twice and referred to the Committee on the Judiciary Full Title An Act To enhance information-sharing capabilities between Federal law enforcement and State agencies to detect, investigate, and prosecute fraud in certain Federal programs, and to protect individual privacy.
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The Centers for Medicare & Medicaid Services (CMS) is working to end skyrocketing drug costs as the agency announces today that all 50 states, plus the District of Columbia and Puerto Rico, have applied to participate in an initiative which provides most-favored-nation pricing for certain prescription drugs to people with Medicaid. Forty states and Puerto Rico have already signed agreements to participate in this historic program that will lower Medicaid drug costs to what other countries pay, saving an estimated $64.3 billion in taxpayer dollars over the next ten years, while preserving or enhancing beneficiaries’ quality of care.
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The federal community engagement requirement generally requires certain adults (ages 19–64) who are Medicaid applicants or beneficiaries to engage in work, community service, or certain other activities for 80 hours per month, or be enrolled at least half-time in education, to be eligible for Medicaid.
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States must attempt to verify medical frailty using reliable information available to the state, which includes claims relevant to the individual that were adjudicated in the prior 12 months (including claims that were paid, pended or denied), encounter data relevant to the individual from the preceding 12 months, as well as any other health data (e.g., health information exchange (HIE) data) for an individual (ex parte verification).
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CMS is helping states implement community engagement requirements with hands-on, tailored implementation support. From experience strategy to solution design to product optimization, our team is here to support.
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Bill H.R.10326 Title PROOF Act Last Action 09/17/2026
Assessments
LaLota took same-term action aligned with the promise, including joining letters opposing Medicaid coverage reductions, supporting enacted Medicaid DSH protections, and backing legislation with Medicaid-related savings and administrative streamlining claims. However, official CBO evidence indicates the major enacted Medicaid savings package he supported is expected to reduce Medicaid/CHIP enrollment and increase the uninsured, which undercuts full fulfillment of preserving Medicaid while finding responsible savings. The record supports meaningful but incomplete delivery.
LaLota took concrete same-term actions aligned with the promise: he joined GOP colleagues in urging leadership to protect Medicaid coverage, voted for enacted legislation with Medicaid-related savings and DSH provisions, and claimed enactment of his Save Our Safety Net Hospitals Act language to modernize Medicaid DSH payments and reduce bureaucracy. However, the evidence does not show full fulfillment of the broader promise to preserve Medicaid while finding responsible savings through deregulation and streamlining; CBO evidence that the 2025 reconciliation law is expected to reduce Medicaid/CHIP enrollment undercuts a full-delivery finding. The record supports meaningful effort and partial policy delivery, not complete fulfillment.
LaLota took repeated same-term steps to support Medicaid coverage and reduce red tape, including joining leadership letters opposing Medicaid cuts and touting enacted provisions in FY26 funding legislation that modernized Medicaid DSH payments and reined in bureaucracy. That is meaningful progress and some partial policy delivery, but the evidence does not show a full, comprehensive fulfillment of the broader promise to preserve Medicaid while finding responsible savings through deregulation and broad federal-program streamlining.
LaLota has same-term evidence of materially advancing the promise, but not fully delivering it. He publicly opposed Medicaid coverage cuts, joined and promoted a letter to House GOP leadership urging protection of vulnerable beneficiaries, and supported enacted measures that protected Medicaid-related hospital funding, including provisions tied to his Save Our Safety Net Hospitals Act and later legislation delaying Medicaid DSH cuts. There is also evidence he backed broader streamlining and anti-bureaucracy measures in federal legislation. But the record here does not show a comprehensive delivered outcome that both preserved Medicaid broadly and produced clear responsible savings through deregulation and administrative streamlining. The strongest case is meaningful partial progress with some enacted components, not full fulfillment.
LaLota has concrete same-term evidence of working on the promise: he publicly opposed Medicaid coverage cuts, joined and led letters to House leadership, and backed enacted measures that protected Medicaid-related hospital funding and highlighted bureaucratic streamlining. That supports real effort and some limited policy wins tied to preserving parts of the safety net and reducing red tape. But the record provided does not show full delivery of the broader promise to preserve Medicaid while achieving responsible savings through deregulation, streamlined federal programs, and administrative cuts across the policy area. The strongest evidence is partial preservation of Medicaid-adjacent funding and advocacy against cuts, not a completed Medicaid preservation-and-savings package.
The record shows LaLota took meaningful same-term action consistent with the promise: he publicly opposed Medicaid coverage cuts for vulnerable populations through a leadership letter, and he backed enacted provisions delaying Medicaid DSH cuts and advancing a hospital-focused Medicaid payment modernization measure. There is also evidence of his support for streamlining and cutting red tape in federal programs. However, the evidence does not show he fully delivered the broader promised outcome of preserving Medicaid while achieving responsible savings through deregulation, streamlined federal programs, and reduced administrative burden across the policy area. What is documented is a mix of advocacy and narrower legislative wins rather than full fulfillment of the entire promise.
The evidence shows LaLota publicly and materially worked to preserve Medicaid by joining a House Republican letter urging leadership to protect vulnerable populations from Medicaid coverage reductions. That matches the advocacy and effort component of the promise. However, the record provided does not show an enacted federal policy outcome preserving Medicaid while also achieving responsible savings through deregulation, streamlining programs, or cutting administrative red tape. Because this is a work-to/policy-process promise with concrete same-term action but no completed legislative or executive delivery shown, partial credit is appropriate.