A group of 16 House Republicans — led by more moderate Rep. David Valadao — sent a letter to Thune and Speaker Mike Johnson on Tuesday suggesting they are prepared to vote against the legislation that comes out of the Senate if it includes a cut to the Medicaid provider tax.

…

The House members also say they’re concerned about the “rushed implementation timelines, penalties for expansion states, changes to the community engagement requirements for adults with dependents, and cuts to emergency Medicaid funding.”

…

“Protecting Medicaid is essential for the vulnerable constituents we were elected to represent. Therefore, we cannot support a final bill that threatens access to coverage or jeopardizes the stability of our hospitals and providers,” the members wrote.

The list of Representatives who signed this bill reads like who’s who of endangered 2026 House Republicans including Valadao, Rob Bresnahan, Young Kim, Mike Lawler, Juan Ciscomani, Chuck Edwards, Andrew Garbarino, Jen Kiggans, Jeff Van Drew, Dan Newhouse, Rob Wittman, Mariannette Miller-Meeks, Don Bacon, Zach Nunn, Nicole Malliotakis and Jeff Hurd.