Democrats outline playbook to target House Republicans on Medicaid, budget and DOGE

They plan to slam Republicans on their budget that will "inflict massive pain.”

Democrats plan to target House Republicans in vulnerable districts by highlighting potential cuts to Medicaid and other federal spending in the budget blueprint GOP lawmakers hope to vote on this week, according to a Democratic Congressional Campaign Committee memo first obtained by ABC News.

The memo titled “Medicaid Cuts Prove Politically Perilous for House Republicans” outlines a plan to paint GOP members in swing districts as voting for a “budget blueprint that would inflict massive pain upon American families.”

The budget blueprint sets a goal of at least $2 trillion dollars in cuts to mandatory federal spending, which includes funding for entitlement programs like Social Security and Medicare.

Medicaid, the health care program for low-income Americans and those with disabilities, is expected to face the brunt of the cuts. Some GOP members have discussed including new work requirements for the program and limiting how much the federal government pays each state.

Republican leadership has repeatedly promised not to cut other entitlement programs.

“Rather than delivering on their campaign promises to lower the high cost of living, [Republicans] are poised to pass an extreme budget scheme that would decimate affordable health care and take food off the tables of millions of American families,” the memo reads. “Republicans will find that a ‘yes’ vote doomed their reelection chances come November 2026.”

Vulnerable Republicans, several of whom represent swing districts with a significant number of constituents on Medicaid, have expressed serious concern that safety net programs could be on the chopping block.

“Slashing Medicaid would have serious consequences, particularly in rural and predominantly Hispanic communities where hospitals and nursing home are already struggling to keep their doors open,” Republican members of the Congressional Hispanic Conference wrote to Speaker Mike Johnson in a letter last week.

GOP leadership has stressed to members that, while the budget blueprint calls for substantial cuts, specific cuts have yet to be determined. And Republican members have disputed their budget will have a negative impact on low-income families, pointing to policies like “No Tax on Tips,” a signature Trump campaign promise included in the budget plan.

The Democratic memo also notes House Republicans in safe red seats are already facing what it calls “massive political blowback” at town hall meetings back home, as angry voters speak out about potential funding cuts and thousands of recent firings by Elon Musk’s Department of Government Efficiency (DOGE).

“We are all fricking pissed off about this, you’re going to hear it,” a constituent said to Rep Rich McCormick, R-Ga., at a town hall last week.

Johnson told ABC News the protests were an “ambush” organized by Democratic advocacy groups.

“I think the American people largely applaud what’s happening. We need to get government cut back to its size and scope the way it should be and make sure people are doing their work,” he said.