Bresnahan and two other Pennsylvania Republicans won in November by some of the smallest margins in all of Congress, prevailing in a critical battleground state that not only helped decide the presidency but also aided the GOP in taking control of the U.S. House.

A federal budget resolution that narrowly passed on partisan lines Tuesday could lead to major cuts to Medicaid. Now Pennsylvania Democrats and health care advocates are sounding the alarm about how those cuts could harm vulnerable people.

After the House of Representatives passed a budget resolution on Tuesday night, it has some worried about Medicaid cuts.

Pennsylvania faces billions in Medicaid and other health funding cuts, which could force tens of thousands out of programs, under a budget resolution approved by Congressional Republicans, according to opposition groups.

Erin Gabriel for the last 15 years has relied on Medicaid to cover the costs of doctor’s appoints, medications, physical therapists and tests to help her daughter Abby navigate life with disabilities.

Nearly a quarter of Pennsylvanians are on Medicaid, the joint federal-state program that covers medical costs for poor people along with nursing home and personal care home expenses. If Republicans on Capitol Hill target Medicaid as they seek to slash federal spending by $2 trillion and enact $4.

According to the Kaiser Family Foundation's (KFF) Enrollment and Unwinding Tracker, Medicaid and Children's Health Insurance Program (CHIP) enrollment in Pennsylvania fell from 3.7 million to 3.1 million between March 2023 and October 2024.

Disability-rights advocates stood alongside federal, state and local Democrats Friday to rally against potential Medicaid cuts. A congressional budget resolution passed this week calls for $880 billion in cuts to the agency that oversees the health insurance program.

Democrats are seeking to revive their 2018 playbook, accusing Republicans of targeting Medicaid to help finance their legislative agenda.

Any reduction in federal funding for healthcare will trigger a trickle-down effect to which providers do not want to be subject.

Gov. Josh Shapiro included several proposals in his state budget to improve rural access to healthcare and said Guthrie is a model for doing it right.

GOP lawmakers expected to vote soon on slashing the insurance program for low-income people represent tens of millions reliant on it.