PSEA details impacts of health care, nutrition cuts in federal budget reconciliation bill by Pa. congressional district

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PSEA details impacts of health care, nutrition cuts in federal budget reconciliation bill by Pa. congressional district

For further information contact:
Chris Lilienthal (717) 712-6677
David Broderic (717) 376-9169

HARRISBURG, PA (June 26, 2025) — With the U.S. Senate poised to vote on a massive budget reconciliation bill this week, the Pennsylvania State Education Association is educating U.S. policymakers and the public on the likely impacts of the billions in proposed cuts to health care, nutrition, and other federal programs in that bill.

“Only when children are nourished and healthy are they ready to learn and grow into their full potential,” said PSEA President Aaron Chapin. “Meeting the most basic needs of our students isn’t frivolous or wasteful spending; it is essential to their success in the classroom and to the success of our nation. Yet Congress continues to push for policies that would cut funding for and take away access to meals and health care for children.”

The reconciliation bill, which passed the U.S. House by a margin of 215-214 in May, uses these deep cuts to health care, nutrition assistance, education services, and other programs to help fund $3.75 trillion in tax cuts heavily benefiting the super wealthy, while still adding trillions to the federal deficit.

“Hundreds of thousands of Pennsylvanians, including children, seniors, and people with disabilities, could lose their health care coverage or nutrition assistance due to these unprecedented cuts,” Chapin said. “This means families will not be able to take their kids to the doctor when they’re sick. It means public schools will lose funding to provide health-related services to students. It means Pennsylvanians will go hungry. Entire communities will suffer if these federal funding cuts are enacted into law, especially those in rural areas.”

“There is no way that Pennsylvania can backfill the loss of billions in federal funding for health care, food assistance, and other programs,” Chapin added. “Services will be cut. Pennsylvania families will suffer. And our students will pay the price for years to come.”

Impact of Cuts to Health Care, Nutrition Assistance in Pennsylvania

Pennsylvania receives $28 billion annually in federal funding to provide Medicaid coverage to nearly 3 million Pennsylvanians, including 961,000 children, according to estimates from KFF, formerly known as the Kaiser Family Foundation. The U.S. House-passed version of the reconciliation bill could strip Medicaid health coverage from between 333,000 and 550,000 Pennsylvanians — representing a 10-year loss of funding of between $26.3 billion and $43.9 billion, KFF estimates.

Pennsylvania receives $4.3 billion annually in federal funding to provide SNAP nutrition assistance to 1.9 million Pennsylvanians. The U.S. House-passed version of the reconciliation bill could strip SNAP benefits from 401,000 Pennsylvanians, according to estimates from the Center for American Progress.

Impact of Cuts to Health Care, Nutrition Assistance by Pennsylvania Congressional District

Below are two tables containing data on Medicaid and SNAP benefits — and the likely impacts of cuts to these programs included in the budget reconciliation bill — for each of Pennsylvania’s 17 congressional districts:

TABLE 1

Medicaid Enrollment by Eligibility Group by Pennsylvania Congressional District and Estimated Number of Losses in Health Care Coverage

Congressional District

Name of Representative

People enrolled in Medicaid

Children enrolled in Medicaid

Estimated health insurance coverage losses, 2034

Statewide

 

2,986,200

960,900

340,000

1

Fitzpatrick, Brian

104,500

31,100

12,000

2

Boyle, Brendan

330,700

111,600

38,000

3

Evans, Dwight

286,500

90,300

32,000

4

Dean, Madeleine

102,600

31,400

12,000

5

Scanlon, Mary Gay

185,400

64,500

21,000

6

Houlahan, Chrissy

134,200

46,600

15,000

7

Mackenzie, Ryan

173,400

58,100

20,000

8

Bresnahan, Robert

206,700

69,000

23,000

9

Meuser, Daniel

173,400

55,800

20,000

10

Perry, Scott

172,300

60,600

20,000

11

Smucker, Lloyd

134,900

45,400

15,000

12

Lee, Summer

172,700

51,800

20,000

13

Joyce, John

167,000

53,800

19,000

14

Reschenthaler, Guy

177,000

50,800

20,000

15

Thompson, Glenn

154,400

45,500

18,000

16

Kelly, Mike

181,100

57,000

21,000

17

Deluzio, Christopher

129,400

37,600

15,000

Source. Medicaid enrollment estimates by Rhiannon Euhus, Alice Burns, and Robin Rudowitz of KFF, analysis of the T-MSIS Research Identifiable Files, CY 2021. Available online @ https://www.kff.org/medicaid/issue-brief/congressional-district-interactive-map-medicaid-enrollment-by-eligibility-group/. Estimated number of people losing health insurance coverage by 2034 compiled by the Center for American Progress based upon Alice Burns and others, “How Will the 2025 Reconciliation Bill Affect the Uninsured Rate in Each State?: Allocating CBO’s Partial Estimates of Coverage Loss” (San Francisco, CA: KFF, 2025); Available online @ https://www.americanprogress.org/article/the-devastating-harms-of-house-republicans-big-beautiful-bill-by-state-and-congressional-district/.

 

TABLE 2

Number of People and Total Value of Supplemental Nutrition Assistance Program (SNAP) Benefits by Pennsylvania Congressional District and People Put at Risk for SNAP Benefit Cuts

Congressional District

Name of Representative

People

Dollar value of benefits

Number of people at risk of losing some or all SNAP benefits

Statewide

 

1,945,480

$4,270,000,128

401,000

1

Fitzpatrick, Brian

105,521

$235,246,096

15,000

2

Boyle, Brendan

475,710

$1,106,200,576

50,000

3

Evans, Dwight

475,710

$1,106,200,576

33,000

4

Dean, Madeleine

123,720

$263,854,656

12,000

5

Scanlon, Mary Gay

643,794

$1,465,504,896

25,000

6

Houlahan, Chrissy

91,261

$190,393,232

19,000

7

Mackenzie, Ryan

127,002

$261,069,088

25,000

8

Bresnahan, Robert

147,221

$308,966,720

31,000

9

Meuser, Daniel

239,713

$500,084,128

23,000

10

Perry, Scott

136,797

$278,510,720

20,000

11

Smucker, Lloyd

114,114

$235,735,712

15,000

12

Lee, Summer

208,900

$484,029,088

26,000

13

Joyce, John

142,948

$298,585,696

20,000

14

Reschenthaler, Guy

133,773

$304,062,176

24,000

15

Thompson, Glenn

124,521

$273,083,616

21,000

16

Kelly, Mike

129,958

$281,189,312

27,000

17

Deluzio, Christopher

187,820

$434,847,712

16,000

Source. SNAP recipiency and the value of benefits based on SNAP data tables published by the United States Department of Agriculture. Available online @ https://www.fns.usda.gov/pd/supplemental-nutrition-assistance-program-snap.  Projection of the number of people losing some or all SNAP benefits by compiled by the Center for American Progress and based upon Katie Bergh, Caitlin Nchako, and Luis Nuñez, “Expanded Work Requirements in House Republican Bill Would Take Away Food Assistance From Millions: State and Congressional District Estimates” (Washington, D.C.: Center on Budget and Policy Priorities, 2025). Available online at https://www.americanprogress.org/article/the-devastating-harms-of-house-republicans-big-beautiful-bill-by-state-and-congressional-district/.

Chapin is a Stroudsburg Area middle school teacher and president of PSEA. An affiliate of the National Education Association, PSEA represents about 177,000 active and retired educators and school employees, aspiring educators, higher education staff, and health care workers in Pennsylvania.