As the Trump administration considers a new rule that could make it easier for eligible Americans to lose Medicaid coverage, Pennsylvanians are speaking out about what these changes would mean for their lives.

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The proposed rule follows the Republican Tax Law, which included the largest Medicaid cuts in history after being supported by Congressmen Ryan Mackenzie (PA-07), Rob Bresnahan (PA-08), and Scott Perry (PA-10). Together, these changes threaten access to health care for hundreds of thousands of Pennsylvanians—all while delivering another round of tax breaks to billionaires and giant corporations.

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For people recovering from catastrophic injuries, living with disabilities, managing chronic illnesses, or caring for loved ones, Medicaid is more than an insurance program. It provides access to surgeries, medications, home health care, rehabilitation, and the services that allow people to recover, work, and live independently.

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The stories that follow come from Pennsylvanians whose lives have been shaped by Medicaid. They remind us that behind every policy debate is a real person—and that the consequences of these decisions extend far beyond Washington.