i thank the gentleman for yielding me this time . 
mr. chairman , the budget is a reflection of our values and priorities as a nation . 
congress should support a federal budget that will make us more competitive in the global economy , spread prosperity to more americans and reestablish fiscal discipline to ensure a better future for our children . 
this budget resolution takes us in the wrong direction . 
in order to cover up the president 's mismanagement of the economy and the resulting mountains of debt , the republican budget sacrifices important domestic priorities like medicaid . 
this budget resolution cuts medicaid more deeply than the president 's proposal , as much as $ 20 billion over 5 years . 
slashing medicaid will have a devastating impact on the most vulnerable in our society . 
medicaid is the health care safety net for impoverished children , elderly and the disabled . 
reductions to medicaid will cause lasting harm to current medicaid beneficiaries and make the system less viable for health care providers . 
exactly who will be affected by cuts to medicaid ? 
thirty-nine million low-income children and parents , including one in every five american children ; 13 million elderly and disabled individuals who are receiving acute and long-term care coverage . 
this budget would set back the quality of nursing home care . 
with medicaid funding half of the nation 's nursing home care , cutting or block granting the program would set back efforts at improving the quality of care provided to seniors and people with disabilities in the nation 's nursing homes . 
this budget would unravel an already fraying health safety net , jeopardizing support for providers like hospitals , clinics , doctors and health plans that serve low-income people . 
this budget would increase the number of uninsured which has already risen to 45 million people under the president 's watch . 
sick people cost more when they are uninsured and receiving care in emergency rooms than when they are covered by medicaid . 
this budget would put children at risk . 
if children have less health coverage , they are more likely to compromise their ability to learn in school and to grow into healthy , contributing members of society . 
cuts to medicaid will shift costs to states , increasing their already significant fiscal burdens . 
cuts in block grants do not address the real challenges states are facing , medicaid enrollment increases which have occurred as a result of more people losing their health care coverage . 
shifting additional costs to the states will likely drive them to cut medicaid coverage and services . 
this administration has provided huge tax cuts to the highest earning households in the nation over the last few years . 
now we see the rest of the plan . 
to reduce or eliminate health care coverage for poor , elderly and disabled people in order to finance tax cuts for the wealthy is inequitable and not in line with our nation 's values . 
