I am deeply concerned about proposals to reduce Medicaid funding and coverage through approaches like imposition of work requirements, conversion of federal Medicaid funding to block grants, or reduction of federal contributions to Medicaid expansion costs. Medicaid provides essential and highly cost-effective healthcare access to millions of Americans, especially children, people with disabilities, and seniors. Using Medicaid dollars to finance tax cuts for the wealthiest Americans will not only harm low-income Americans but also cause disproportionate harm to lower-income states and rural hospitals who rely on Medicaid coverage to keep their doors open. I urge you to oppose any attempts to reduce Medicaid's vital role in ensuring access to necessary medical care for our most vulnerable citizens.