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AZ-6

What Voters Need to Know

Updated 07/14/2026

It is important that voters in the district – especially Independents and Hispanic voters –  see and hear in English and Spanish that:

Juan Ciscomani bowed to Trump instead of standing with Arizona’s veterans. He said he was “thrilled”1 to be on the committee that gutted veterans’ healthcare, and cut a thousand positions at the Arizona VA2,3,4,5,6,7.  Now nearly 80,000 veterans living in the district8 face longer wait times9,10 and may even need to travel out of state to get the healthcare they have earned.
Ciscomani bowed to Trump again when he voted against making health care more affordable11,12,13 – leading to a 30 percent spike in premiums14 and 70,000 Arizonans dropping their coverage15 because they could no longer afford it. After promising he wouldn’t vote to cut Medicaid,16 Ciscomani cast the deciding vote for the biggest cut to Medicaid in history,17,18 raising healthcare costs for all of us19 and putting our hospitals at risk.20

Voters should see and hear these messages in this order coming directly from veterans and Latino and Independent validators in the district.

Lastly, voters, especially voters over 50, should also see and hear that:

At a time when life is already too expensive, Ciscomani voted with Trump repeatedly11,17 to cut millions to Medicare21, threatening seniors’ hard earned Social Security benefits22 and forcing them to wait in long lines to access the funds they’ve spent their whole lives paying into.

Voters should see and hear this message coming directly from seniors in the district.

___________________________________________________

Juan Ciscomani bowed to Trump instead of standing with Arizona’s veterans. He said he was “thrilled” to be on the committee that gutted veterans’ healthcare,

HEADLINE: “Arizona Congressman ‘Thrilled’ To Work With Elon Musk’s DOGE.” [12News, 12/6/24]

Ciscomani Said He Was “Thrilled To Join The DOGE Caucus To Work Closely With President-Elect Trump’s Newly Formed Department Of Government Efficiency.” “‘The United States’ national debt recently surpassed $36 trillion and is becoming increasingly unsustainable every day, risking our nation’s fiscal stability,’ said Ciscomani. ‘This is why I am thrilled to join the DOGE Caucus to work closely with President-elect Trump’s newly formed Department of Government Efficiency to reduce waste, cut unnecessary red-tape, streamline bloated government bureaucracies, safeguard taxpayer dollars, and put America back on the path of fiscal responsibility.’    On December 5th, Ciscomani attended a meeting on DOGE alongside Speaker of the House Mike Johnson, Elon Musk, Vivek Ramaswamy, and fellow House colleagues.” [U.S. Rep. Juan Ciscomani, press release, 12/6/24]

and cut a thousand positions at the Arizona VA

The Trump Administration Fired Multiple VA Therapists Who Provided Hospice And Palliative Care To Arizona Veterans. “Fray and another VA therapist who was laid off by the Trump administration also described providing hospice and palliative care for Arizona veterans.  Fray, like many probationary federal employees, was let go in an email on Monday afternoon. She received a message from a name she didn’t recognize with the subject line ‘Termination During Probation Notice.’” [Arizona Republic, 2/27/25]
2025: Arizona Lost 575 VA Employees, Making Up Over 5% Of Staff.

[Center on Budget and Policy Priorities, 2/20/26]

171 Employees At Arizona Vas Applied For Deferred Resignation Or Early Retirement In Response Trump’s Doge Cuts. “92 employees from the Southern Arizona VA Health Care System have applied for deferred resignation or early retirement in response to an offer made by the Trump Administration as part of its DOGE initiative to cut the Veterans Affairs workforce by 15%. In Tucson, 79 employees have requested to resign and opt for full pay and benefits through September 30th through the DRP 2.0 program according to a public records request.” [AZPM, 6/6/25]
[Peoria Times, 4/22/25;
Center Square, 5/8/25;
Senate Office of Ruben Gallego, 12/16/25]

Now nearly 80,000 veterans living in Southern Arizona face longer wait times and may even need to travel out of state to get the healthcare they have earned.

2024: AZ-06 Had An Estimated 76,457 Civilian Veterans. “Congressional District 6 (119th Congress), Arizona Source: 2024 American Community Survey 1-Year Estimates […] Veteran Status Estimate Civilian population 18 years and over 671,898 Civilian veterans 76,457” [United States Census Bureau, accessed 4/10/26]
As Of July 2025, The Average Wait Time Nationally To Schedule Outpatient Surgery Appointments For New VA Patients Was 41 Days, Which Was 13 Days Higher Than The Goal Set By The VA And Nearly Two Days Longer In 2024. “While wait times for primary, mental health and specialty care for existing patients did increase during Biden’s presidency, the VA’s statistics show only slight reductions since Trump took office in January. However, appointment wait times for new patients seeking primary and specialty care have slightly increased, according to a report obtained by ProPublica. As of early July, the average wait time nationally to schedule outpatient surgery appointments for new patients was 41 days, which is 13 days higher than the goal set by the VA and nearly two days longer than a year ago.” [Tucson Sentinel, 8/9/25]
An Arizona Veteran Said, “We Are Hearing Through Veterans’ Groups Examples Such As Appointment Times Are A Little Hard To Get, My Provider Is Not There Anymore, Or It’s Not What It Used To Be.” “After 170 doctors affiliated with the VA healthcare system sounded a warning last week about risks to veteran care, Arizona military veterans gathered on Monday to echo their concerns.  ‘Anecdotally, we are hearing through veterans’ groups examples such as appointment times are a little hard to get, my provider is not there anymore, or it’s not what it used to be,’ said Chris Hill, a 20-year Army veteran and member of the nonprofit Common Defense.” [12News, 9/29/25]

Ciscomani bowed to Trump again when he voted against making health care more affordable –

July 2025: Ciscomani Voted For H.R. 1, The One Big Beautiful Bill Act. In July 2025, Ciscomani voted for: “Motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The motion was agreed to by a vote of 218-214. [HR 1, Vote #190, 7/3/25; CQ, 7/3/25]
The One Big Beautiful Bill Did Not Extend Enhanced Premium Tax Credits For ACA Marketplace Plans. “The OBBBA did not extend enhanced premium tax credits for ACA marketplace plans. As a result, when open enrollment begins on November 1, 2025, 20 million marketplace enrollees will see their premium costs spike.” [Center for American Progress, 7/29/25] 
Ciscomani Voted Against A Three-Year Aca Tax Credit Extension. “Ciscomani said he voted no because the subsidies for health insurance purchased through the Affordable Care Act, which started during the COVID-19 pandemic, boosted insurance company profits at the expense of the American people. ‘The tax credits were a temporary Band-Aid, not a sustainable solution,’ he said Friday in a statement to KTAR News 92.3 FM. Ciscomani said he’d support an extension that includes reforms to mitigate fraud and abuse of the program. ‘In December, I and a majority of my colleagues in the House voted for legislation that represented a step in the right direction. We need to work on a solution that prevents rates from climbing, institutes reforms and protects the services for those in need. The bill we considered today (Thursday) didn’t accomplish any of that, and that is why I voted no.’” [KTAR News, 1/9/26]

leading to a 30 percent spike in premiums and 70,000 Arizonans dropping their coverage because they could no longer afford it.

Arizona Mirror: “One Analysis Found That Insurance Premiums On The ACA Marketplace For Arizona Jumped Nearly 30% On Average.” “About 70,000 fewer Arizonans have signed up for health insurance through the Affordable Care Act after Republicans in Congress refused to extend tax credits and premiums soared. One analysis found that insurance premiums on the ACA marketplace for Arizona jumped nearly 30% on average. Data released this week by the Centers for Medicare & Medicaid Services show that 353,000 Arizonans have signed up for 2026 ACA insurance plans, nearly 17% fewer than purchased plans for 2025. The open enrollment period for the ACA ends on Thursday.” [Arizona Mirror, 1/14/26]
About 70,000 Fewer Arizonans Signed Up For Insurance Through The Affordable Care Act In 2026 Compared To 2025 According To Data From The Centers for Medicare & Medicaid Services. “About 70,000 fewer Arizonans have signed up for health insurance through the Affordable Care Act after Republicans in Congress refused to extend tax credits and premiums soared. One analysis found that insurance premiums on the ACA marketplace for Arizona jumped nearly 30% on average. Data released this week by the Centers for Medicare & Medicaid Services show that 353,000 Arizonans have signed up for 2026 ACA insurance plans, nearly 17% fewer than purchased plans for 2025. The open enrollment period for the ACA ends on Thursday.” [Arizona Mirror, 1/14/26]

After promising he wouldn’t vote to cut Medicaid,

April 2025: Ciscomani Signed Onto A Letter Telling House Republican Leadership He “Cannot And Will Not” Vote For Legislation That Reduced Medicaid Coverage. “U.S. Congressman Juan Ciscomani is ramping up pressure to protect Medicaid, telling House Republican leadership in a letter signed by 12 other colleagues that they ‘cannot and will not’ vote for legislation that reduces Medicaid coverage for those who need it. ‘Efficiency and transparency must be prioritized for program beneficiaries, hospitals, and states,’ the lawmakers wrote. ‘We support targeted reforms to improve program integrity, reduce improper payments, and modernize delivery systems to fix flaws in the program that divert resources away from children, seniors, individuals with disabilities, and pregnant women – those who the program was intended to help. However, we cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations.’” [Rep. Juan Ciscomani, Press Release, 4/17/25]

Ciscomani cast the deciding vote for the biggest cut to Medicaid in history,

May 2025: Ciscomani Was The Deciding Vote On H.R. 1, The One Big Beautiful Bill Act. In May 2025, Ciscomani voted for: “Passage of the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. It would reduce spending on Medicaid by $625 billion over a 10-year period and modify eligibility and cost provisions for enrollees and health providers and impose work, volunteer and education requirements on adults ages 19 to 64 who are covered by the program. It would appropriate “such sums as necessary” for reducing cost-sharing payments for low-income individuals who’ve purchased “silver” plans on the 2010 health care law’s exchanges. But payments to plans that cover abortions would be mostly barred. It would extend and make permanent individual tax brackets and rates included in the 2017 tax overhaul law (PL 115-97) and provide for the adjustment of the lower bounds of each tier based on inflation. It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000 and prohibit Medicaid funding for gender transition therapies or procedures for minors and adults, among other provisions.” The bill passed by a vote of 215-214. [H.R. 1, Vote #145, 5/22/25; CQ, 5/22/25]

(11) July 2025: Ciscomani Voted For H.R. 1, The One Big Beautiful Bill Act. In July 2025, Ciscomani voted for: “Motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The motion was agreed to by a vote of 218-214. [HR 1, Vote #190, 7/3/25; CQ, 7/3/25]

The Hill: With One Big Beautiful Bill, Republicans Passed The Largest Cuts To Medicaid Since The Program Began In The 1960’s. “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade.  The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill, 7/1/25]

●      The Hill: The Republicans’ Made About $1 Trillion In Cuts To Medicaid. “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade.  The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill, 7/1/25]

raising healthcare costs for all of us and putting our hospitals at risk.

Third Way: “Medicaid Cuts Would Squeeze Health Care Providers And Accelerate Consolidation—Further Raising Prices On Care For Patients With Private Insurance.” “As part of the partisan reconciliation process, congressional Republicans are considering $880 billion in cuts to Medicaid. While these cuts would severely impact the health and finances of low-income Americans, the consequences would reach far beyond Medicaid enrollees. Medicaid cuts would destabilize the broader health care system, ultimately driving up costs for employers and workers who rely on private insurance. In this memo, we unpack how workers and employers are struggling with health care costs. We then examine how Medicaid cuts would squeeze health care providers and accelerate consolidation—further raising prices on care for patients with private insurance.” [Third Way, 5/1/25]
Medicaid Cuts Could Led To Hospital Consolidation, Which Could Lead To Higher Prices For Employers When Big Health Care Systems Buy Up Struggling Hospitals.  “Large-scale cuts to the Medicaid program would increase the number of hospitals and other providers that struggle financially. And cuts would lead to higher prices for employers when big health care systems buy up struggling hospitals. When Medicaid funding is cut, these providers are forced to absorb more uncompensated care and may have to reduce services, lay off staff, or shut down altogether. As more providers feel the financial stress of Medicaid cuts, they are more likely to consider a merger. Roughly a third of hospitals involved in merger and acquisition discussions are financially distressed.” [Third Way, 5/1/25]
Arizona Mirror: 10 Hospitals In And Around Ciscomani’s District Were Expected To Lose Approximately $110,151,000 In Medicaid Revenue Annually Due To Medicaid Cuts In The OBBB. “Tucson Republican U.S. Rep. Juan Ciscomani had drawn a line in the sand, saying he couldn’t vote for a budget bill that cut Medicaid. Five weeks later, he strolled across that line, voting for a Trump-endorsed spending plan that cuts nearly $1 trillion from Medicaid.  A week later, he visited a rural hospital in his Southern Arizona district that is expected to lose over $700,000 annually because of the cuts. That was one of several rural health care facilities — all of which are now facing losses of millions of dollars — he visited in the coming weeks, the Arizona Mirror found. Last year’s budget reconciliation bill, dubbed the ‘One Big Beautiful Bill Act’ by President Donald Trump, slashed Medicaid by an estimated $990 billion over the next 10 years, modified eligibility for accessing health care and implemented a slew of other changes that are set to push millions across the country off Medicaid and cost hospitals across the nation billions in revenue.  An analysis by the Mirror of data gathered by the neoliberal think tank Third Way shows that 10 hospitals in and around Ciscomani’s district are set to lose approximately $110,151,000 in Medicaid revenue annually. The hospitals directly located in Ciscomani’s Congressional District 6 — one of the most competitive in the country — are set to lose $54,880,085 annually from the cuts.” [Arizona Mirror, 1/8/26]

At a time when life is already too expensive, Ciscomani voted with Trump repeatedly to cut millions to Medicare,

(17) May 2025: Ciscomani Was The Deciding Vote On H.R. 1, The One Big Beautiful Bill Act. In May 2025, Ciscomani voted for: “Passage of the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. It would reduce spending on Medicaid by $625 billion over a 10-year period and modify eligibility and cost provisions for enrollees and health providers and impose work, volunteer and education requirements on adults ages 19 to 64 who are covered by the program. It would appropriate “such sums as necessary” for reducing cost-sharing payments for low-income individuals who’ve purchased “silver” plans on the 2010 health care law’s exchanges. But payments to plans that cover abortions would be mostly barred. It would extend and make permanent individual tax brackets and rates included in the 2017 tax overhaul law (PL 115-97) and provide for the adjustment of the lower bounds of each tier based on inflation. It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000 and prohibit Medicaid funding for gender transition therapies or procedures for minors and adults, among other provisions.” The bill passed by a vote of 215-214. [H.R. 1, Vote #145, 5/22/25; CQ, 5/22/25]

(11) July 3, 2025: Ciscomani Voted For HR 1, The One Big Beautiful Bill Act. “It is known as a reconciliation bill and includes legislation submitted by several congressional committees pursuant to provisions in the FY2025 congressional budget resolution (H Con. Res. 14) that directed the committees to submit legislation to the House or Senate Budget Committee that will increase or decrease the deficit and increase the statutory debt limit by specified amounts.” Ciscomani voted to concur with the U.S. Senate amendment, which passed the U.S. House 218-214. [Congress.gov, HR 1, Vote #190, 7/3/25]

Center For American Progress: Obbb Would Trigger $490 Billion In Cuts To Medicare From 2027 To 2034 Due To The Statutory Pay‑as‑you‑go Act Of 2010. “The OBBBA prohibits the implementation of two finalized rules until October 1, 2034. The rules would have made it easier for very low-income Medicare enrollees to access Medicare Savings Programs (MSPs), which help cover premiums and cost-sharing for their Medicare benefits. This will disproportionately affect disabled people, as they are more likely to have lower incomes than nondisabled people. Second, the bill eliminates Medicare eligibility for people with lawful immigration status who have already paid into the program. Lastly, according to the CBO, absent future congressional action, the bill will trigger $490 billion in cuts to Medicare from 2027 to 2034 due to the Statutory Pay‑As‑You‑Go Act of 2010.” [Center for American Progress, 7/3/25]

threatening seniors’ hard earned Social Security benefits and forcing them to wait in long lines to access the funds they’ve spent their whole lives paying into.

The One Big Beautiful Bill Threatened Social Security’s Solvency Because It Reduced Taxes For A Large Group Of Beneficiaries And Therefore Its Trust Fund Would Receive Less Revenue From Taxes Than It Would Have If The Law Hadn’t Been Enacted. “Americans’ Social Security benefits will have to be cut by roughly a quarter in six years due to depleted funds, according to a June 9 report from the Social Security Board of Trustees. That’s months sooner than the group had estimated in 2025. For years, the trustees and experts have been warning about Social Security’s unstable financial footing. An aging population, low birth rates and worsening income inequality have driven the program to pay out more in benefits than it takes in from taxes…Trump tax bill: Although Trump’s ‘One Big Beautiful Bill Act’ didn’t end all taxation on Social Security benefits as he promised, it did reduce taxes for a large group of beneficiaries. As a result, Social Security’s trust fund received less revenue from taxes than it would have if the law hadn’t been enacted.” [PBS News, 6/26/26]
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JoAnna Mendoza is a retired United States Marine. Use of her military rank, job titles and photographs in uniform does not imply endorsement by the United States Marine Corps, Department of the Navy, or Department of Defense.

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Juan Ciscomani bowed to Trump instead of standing with Arizona’s veterans. He said he was “thrilled”
1
to be on the committee that gutted veterans’ healthcare, and cut a thousand positions at the Arizona VA
2,3,4,5,6,7
.  Now nearly 80,000 veterans living in the district
8
face longer wait times
9,10
and may even need to travel out of state to get the healthcare they have earned.
Ciscomani bowed to Trump again when he voted against making health care more affordable
11,12,13
– leading to a 30 percent spike in premiums
14
and 70,000 Arizonans dropping their coverage
15
because they could no longer afford it. After promising he wouldn’t vote to cut Medicaid,
16
17,18
raising healthcare costs for all of us
19
and putting our hospitals at risk.
20
At a time when life is already too expensive, Ciscomani voted with Trump repeatedly
11,17
to cut millions to Medicare
21
, threatening seniors’ hard earned Social Security benefits
22
and forcing them to wait in long lines to access the funds they’ve spent their whole lives paying into.
HEADLINE: “Arizona Congressman ‘Thrilled’ To Work With Elon Musk’s DOGE.”
[12News,
12/6/24
]
Ciscomani Said He Was “Thrilled To Join The DOGE Caucus To Work Closely With President-Elect Trump’s Newly Formed Department Of Government Efficiency.”
“‘The United States’ national debt recently surpassed $36 trillion and is becoming increasingly unsustainable every day, risking our nation’s fiscal stability,’ said Ciscomani. ‘This is why I am thrilled to join the DOGE Caucus to work closely with President-elect Trump’s newly formed Department of Government Efficiency to reduce waste, cut unnecessary red-tape, streamline bloated government bureaucracies, safeguard taxpayer dollars, and put America back on the path of fiscal responsibility.’    On December 5th, Ciscomani attended a meeting on DOGE alongside Speaker of the House Mike Johnson, Elon Musk, Vivek Ramaswamy, and fellow House colleagues.” [U.S. Rep. Juan Ciscomani, press release,
12/6/24
]
The Trump Administration Fired Multiple VA Therapists Who Provided Hospice And Palliative Care To Arizona Veterans.
“Fray and another VA therapist who was laid off by the Trump administration also described providing hospice and palliative care for Arizona veterans.  Fray, like many probationary federal employees, was let go in an email on Monday afternoon. She received a message from a name she didn’t recognize with the subject line ‘Termination During Probation Notice.’” [Arizona Republic,
2/27/25
]
[Center on Budget and Policy Priorities,
2/20/26
]
171 Employees At Arizona Vas Applied For Deferred Resignation Or Early Retirement In Response Trump’s Doge Cuts.
“92 employees from the Southern Arizona VA Health Care System have applied for deferred resignation or early retirement in response to an offer made by the Trump Administration as part of its DOGE initiative to cut the Veterans Affairs workforce by 15%. In Tucson, 79 employees have requested to resign and opt for full pay and benefits through September 30th through the DRP 2.0 program according to a public records request.” [AZPM,
6/6/25
]
[Peoria Times,
4/22/25
;
Center Square,
5/8/25
;
Senate Office of Ruben Gallego,
12/16/25
]
2024
: AZ-06 Had An Estimated 76,457 Civilian Veterans.
“Congressional District 6 (119th Congress), Arizona Source: 2024 American Community Survey 1-Year Estimates […] Veteran Status Estimate Civilian population 18 years and over 671,898 Civilian veterans 76,457” [United States Census Bureau, accessed
4/10/26
]
As Of July 2025, The Average Wait Time Nationally To Schedule Outpatient Surgery Appointments For New VA Patients Was 41 Days, Which Was 13 Days Higher Than The Goal Set By The VA And Nearly Two Days Longer In 2024.
“While wait times for primary, mental health and specialty care for existing patients did increase during Biden’s presidency, the VA’s statistics show only slight reductions since Trump took office in January. However, appointment wait times for new patients seeking primary and specialty care have slightly increased, according to a report obtained by ProPublica. As of early July, the average wait time nationally to schedule outpatient surgery appointments for new patients was 41 days, which is 13 days higher than the goal set by the VA and nearly two days longer than a year ago.” [Tucson Sentinel,
8/9/25
]
An Arizona Veteran Said, “We Are Hearing Through Veterans’ Groups Examples Such As Appointment Times Are A Little Hard To Get, My Provider Is Not There Anymore, Or It’s Not What It Used To Be.”
“After 170 doctors affiliated with the VA healthcare system sounded a warning last week about risks to veteran care, Arizona military veterans gathered on Monday to echo their concerns.  ‘Anecdotally, we are hearing through veterans’ groups examples such as appointment times are a little hard to get, my provider is not there anymore, or it’s not what it used to be,’ said Chris Hill, a 20-year Army veteran and member of the nonprofit Common Defense.” [12News,
9/29/25
]
July 2025:
Ciscomani
Voted For H.R. 1, The One Big Beautiful Bill Act.
In July 2025
,
Ciscomani voted for: “Motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The motion was agreed to by a vote of 218-214. [HR 1,
Vote #190
, 7/3/25; CQ,
7/3/25
]
The One Big Beautiful Bill Did Not Extend Enhanced Premium Tax Credits For ACA Marketplace Plans. “
The OBBBA did not extend enhanced premium tax credits for ACA marketplace plans. As a result, when open enrollment begins on November 1, 2025, 20 million marketplace enrollees will see their premium costs spike.” [Center for American Progress,
7/29/25
]
Ciscomani Voted Against A Three-Year Aca Tax Credit Extension.
“Ciscomani said he voted no because the subsidies for health insurance purchased through the Affordable Care Act, which started during the COVID-19 pandemic, boosted insurance company profits at the expense of the American people. ‘The tax credits were a temporary Band-Aid, not a sustainable solution,’ he said Friday in a statement to KTAR News 92.3 FM. Ciscomani said he’d support an extension that includes reforms to mitigate fraud and abuse of the program. ‘In December, I and a majority of my colleagues in the House voted for legislation that represented a step in the right direction. We need to work on a solution that prevents rates from climbing, institutes reforms and protects the services for those in need. The bill we considered today (Thursday) didn’t accomplish any of that, and that is why I voted no.’” [KTAR News,
1/9/26
]
Arizona Mirror: “One Analysis Found That Insurance Premiums On The ACA Marketplace For Arizona Jumped Nearly 30% On Average.”
“About 70,000 fewer Arizonans have signed up for health insurance through the Affordable Care Act after Republicans in Congress refused to extend tax credits and premiums soared. One analysis found that insurance premiums on the ACA marketplace for Arizona jumped nearly 30% on average. Data released this week by the Centers for Medicare & Medicaid Services show that 353,000 Arizonans have signed up for 2026 ACA insurance plans, nearly 17% fewer than purchased plans for 2025. The open enrollment period for the ACA ends on Thursday.” [Arizona Mirror,
1/14/26
]
About 70,000 Fewer Arizonans Signed Up For Insurance Through The Affordable Care Act In 2026 Compared To 2025 According To Data From The Centers for Medicare & Medicaid Services.
“About 70,000 fewer Arizonans have signed up for health insurance through the Affordable Care Act after Republicans in Congress refused to extend tax credits and premiums soared. One analysis found that insurance premiums on the ACA marketplace for Arizona jumped nearly 30% on average. Data released this week by the Centers for Medicare & Medicaid Services show that 353,000 Arizonans have signed up for 2026 ACA insurance plans, nearly 17% fewer than purchased plans for 2025. The open enrollment period for the ACA ends on Thursday.” [Arizona Mirror,
1/14/26
]
April 2025: Ciscomani Signed Onto A Letter Telling House Republican Leadership He “Cannot And Will Not” Vote For Legislation That Reduced Medicaid Coverage.
“U.S. Congressman Juan Ciscomani is ramping up pressure to protect Medicaid, telling House Republican leadership in a letter signed by 12 other colleagues that they ‘cannot and will not’ vote for legislation that reduces Medicaid coverage for those who need it. ‘Efficiency and transparency must be prioritized for program beneficiaries, hospitals, and states,’ the lawmakers wrote. ‘We support targeted reforms to improve program integrity, reduce improper payments, and modernize delivery systems to fix flaws in the program that divert resources away from children, seniors, individuals with disabilities, and pregnant women – those who the program was intended to help. However, we cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations.’” [Rep. Juan Ciscomani, Press Release,
4/17/25
]
May 2025: Ciscomani Was The Deciding Vote On H.R. 1, The One Big Beautiful Bill Act.
In May 2025, Ciscomani voted for: “Passage of the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. It would reduce spending on Medicaid by $625 billion over a 10-year period and modify eligibility and cost provisions for enrollees and health providers and impose work, volunteer and education requirements on adults ages 19 to 64 who are covered by the program. It would appropriate “such sums as necessary” for reducing cost-sharing payments for low-income individuals who’ve purchased “silver” plans on the 2010 health care law’s exchanges. But payments to plans that cover abortions would be mostly barred. It would extend and make permanent individual tax brackets and rates included in the 2017 tax overhaul law (PL 115-97) and provide for the adjustment of the lower bounds of each tier based on inflation. It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000 and prohibit Medicaid funding for gender transition therapies or procedures for minors and adults, among other provisions.” The bill passed by a vote of 215-214. [H.R. 1,
Vote #145
, 5/22/25; CQ,
5/22/25
]
(11)
July 2025:
Ciscomani
Voted For H.R. 1, The One Big Beautiful Bill Act.
In July 2025, Ciscomani voted for: “Motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The motion was agreed to by a vote of 218-214. [HR 1,
Vote #190
, 7/3/25; CQ,
7/3/25
]
The Hill: With One Big Beautiful Bill, Republicans Passed The Largest Cuts To Medicaid Since The Program Began In The 1960’s.
“Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade.  The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill,
7/1/25
]
●
The Hill: The Republicans’ Made About $1 Trillion In Cuts To Medicaid.
“Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade.  The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill,
7/1/25
]
Third Way: “Medicaid Cuts Would Squeeze Health Care Providers And Accelerate Consolidation—Further Raising Prices On Care For Patients With Private Insurance.”
“As part of the partisan reconciliation process, congressional Republicans are considering $880 billion in cuts to Medicaid. While these cuts would severely impact the health and finances of low-income Americans, the consequences would reach far beyond Medicaid enrollees. Medicaid cuts would destabilize the broader health care system, ultimately driving up costs for employers and workers who rely on private insurance. In this memo, we unpack how workers and employers are struggling with health care costs. We then examine how Medicaid cuts would squeeze health care providers and accelerate consolidation—further raising prices on care for patients with private insurance.” [Third Way,
5/1/25
]
Medicaid Cuts Could Led To Hospital Consolidation, Which Could Lead To Higher Prices For Employers When Big Health Care Systems Buy Up Struggling Hospitals.
“Large-scale cuts to the Medicaid program would increase the number of hospitals and other providers that struggle financially. And cuts would lead to higher prices for employers when big health care systems buy up struggling hospitals. When Medicaid funding is cut, these providers are forced to absorb more uncompensated care and may have to reduce services, lay off staff, or shut down altogether. As more providers feel the financial stress of Medicaid cuts, they are more likely to consider a merger. Roughly a third of hospitals involved in merger and acquisition discussions are financially distressed.” [Third Way,
5/1/25
]
Arizona Mirror: 10 Hospitals In And Around Ciscomani’s District Were Expected To Lose Approximately $110,151,000 In Medicaid Revenue Annually Due To Medicaid Cuts In The OBBB.
“Tucson Republican U.S. Rep. Juan Ciscomani had drawn a line in the sand, saying he couldn’t vote for a budget bill that cut Medicaid. Five weeks later, he strolled across that line, voting for a Trump-endorsed spending plan that cuts nearly $1 trillion from Medicaid.  A week later, he visited a rural hospital in his Southern Arizona district that is expected to lose over $700,000 annually because of the cuts. That was one of several rural health care facilities — all of which are now facing losses of millions of dollars — he visited in the coming weeks, the Arizona Mirror found. Last year’s budget reconciliation bill, dubbed the ‘One Big Beautiful Bill Act’ by President Donald Trump, slashed Medicaid by an estimated $990 billion over the next 10 years, modified eligibility for accessing health care and implemented a slew of other changes that are set to push millions across the country off Medicaid and cost hospitals across the nation billions in revenue.  An analysis by the Mirror of data gathered by the neoliberal think tank Third Way shows that 10 hospitals in and around Ciscomani’s district are set to lose approximately $110,151,000 in Medicaid revenue annually. The hospitals directly located in Ciscomani’s Congressional District 6 — one of the most competitive in the country — are set to lose $54,880,085 annually from the cuts.” [Arizona Mirror,
1/8/26
]
(17) May 2025: Ciscomani Was The Deciding Vote On H.R. 1, The One Big Beautiful Bill Act.
In May 2025, Ciscomani voted for: “Passage of the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. It would reduce spending on Medicaid by $625 billion over a 10-year period and modify eligibility and cost provisions for enrollees and health providers and impose work, volunteer and education requirements on adults ages 19 to 64 who are covered by the program. It would appropriate “such sums as necessary” for reducing cost-sharing payments for low-income individuals who’ve purchased “silver” plans on the 2010 health care law’s exchanges. But payments to plans that cover abortions would be mostly barred. It would extend and make permanent individual tax brackets and rates included in the 2017 tax overhaul law (PL 115-97) and provide for the adjustment of the lower bounds of each tier based on inflation. It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000 and prohibit Medicaid funding for gender transition therapies or procedures for minors and adults, among other provisions.” The bill passed by a vote of 215-214. [H.R. 1,
Vote #145
, 5/22/25; CQ,
5/22/25
]
(11) July 3, 2025: Ciscomani Voted For HR 1, The One Big Beautiful Bill Act.
“It is known as a reconciliation bill and includes legislation submitted by several congressional committees pursuant to provisions in the FY2025 congressional budget resolution (H Con. Res. 14) that directed the committees to submit legislation to the House or Senate Budget Committee that will increase or decrease the deficit and increase the statutory debt limit by specified amounts.” Ciscomani voted to concur with the U.S. Senate amendment, which passed the U.S. House 218-214. [Congress.gov,
HR 1
, Vote #190,
7/3/25
]
Center For American Progress: Obbb Would Trigger $490 Billion In Cuts To Medicare From 2027 To 2034 Due To The Statutory Pay‑as‑you‑go Act Of 2010.
“The OBBBA prohibits the implementation of two finalized rules until October 1, 2034. The rules would have made it easier for very low-income Medicare enrollees to access Medicare Savings Programs (MSPs), which help cover premiums and cost-sharing for their Medicare benefits. This will disproportionately affect disabled people, as they are more likely to have lower incomes than nondisabled people. Second, the bill eliminates Medicare eligibility for people with lawful immigration status who have already paid into the program. Lastly, according to the CBO, absent future congressional action, the bill will trigger $490 billion in cuts to Medicare from 2027 to 2034 due to the Statutory Pay‑As‑You‑Go Act of 2010.” [Center for American Progress,
7/3/25
]
The One Big Beautiful Bill Threatened Social Security’s Solvency Because It Reduced Taxes For A Large Group Of Beneficiaries And Therefore Its Trust Fund Would Receive Less Revenue From Taxes Than It Would Have If The Law Hadn’t Been Enacted.
“Americans’ Social Security benefits will have to be cut by roughly a quarter in six years due to depleted funds, according to a June 9 report from the Social Security Board of Trustees. That’s months sooner than the group had estimated in 2025. For years, the trustees and experts have been warning about Social Security’s unstable financial footing. An aging population, low birth rates and worsening income inequality have driven the program to pay out more in benefits than it takes in from taxes…Trump tax bill: Although Trump’s ‘One Big Beautiful Bill Act’ didn’t end all taxation on Social Security benefits as he promised, it did reduce taxes for a large group of beneficiaries. As a result, Social Security’s trust fund received less revenue from taxes than it would have if the law hadn’t been enacted.” [PBS News,
6/26/26
]
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