By Matthew Holloway |
Policy experts are pushing back on Democratic attack ads against Rep. Juan Ciscomani (R-AZ06) and other Republicans, saying the One Big Beautiful Bill Act’s (OBBB) Medicaid reforms target fraud and waste—not vulnerable populations.
The ads, funded by the dark-money group Unrig Our Economy, are linked to the George Soros-backed Sixteen Thirty Fund via Arabella Advisors, according to Influence Watch. They feature individuals with disabilities like cerebral palsy, autism, and Down syndrome, accusing legislators, including Ciscomani, of supporting “cuts to Medicaid to pay for tax breaks for billionaires.” The ads target GOP Reps. Mike Lawler (R-NY), Mariannette Miller-Meeks (R-IA), and Thomas Kean Jr. (R-NJ), in addition to Ciscomani, and insinuate that the subjects would lose benefits under the Trump-backed OBBB.
A report from the Economic Policy Innovation Center (EPIC), titled “The Truth Behind the Medicaid Cuts Myth,” counters that Medicaid spending is projected to grow by nearly $189 billion over the next decade, an increase of more than 30% of the current allocation, without reducing benefits for low-income children, individuals with disabilities, or working recipients.
“The reforms in the OBBB do not target low-income children, individuals with a disability, or those who can work and choose to do so,” EPIC stated in the report.
“As usual, all the Democrats have is lies. Representative Juan Ciscomani voted to protect care for Arizona’s most vulnerable, and no amount of spin can change the facts,” National Republican Congressional Committee (NRCC) Spokesperson Ben Petersen said in a statement.
The OBBB introduces work requirements for able-bodied adults, enhanced eligibility verification to cut improper payments (which surged to 21.7% in FY 2020 post-COVID, per CMS data but have since declined to 5.09% in FY 2024), and exemptions for parents of children under 14, disabled veterans, the blind or physically disabled, those with mental or developmental issues, clinically addicted individuals, and those with severe medical conditions.
EPIC and other analysts point to state 1115 demonstrations that have included work and employment elements; evaluations of such waivers show mixed employment impacts and mixed effects on utilization, varying by state and program design.
In Arizona, Ciscomani’s district faces heightened scrutiny amid a state budget shortfall. Arizona budget analysts and JLBC staff warn of material budget pressure heading into FY2026–27; JLBC’s state-impact memos estimate a $363 million reduction in Arizona total-fund Medicaid spending stemming from federal reconciliation provisions, according to the Arizona Joint Legislative Budget Committee.
EPIC is advocating “smart waivers” to prioritize the disabled and families. For Arizona’s fiscal details, see JLBC’s full report.
Matthew Holloway is a senior reporter for AZ Free News. Follow him on X for his latest stories, or email tips to Matthew@azfreenews.com.
