How Trump’s Bill Will Change The Midterms
Medicaid Work Rules, Welfare Cuts, and a Midterm Wake-Up Call
Longtime GOP strategist Karl Rove says the newly passed Trump-backed conservative reform bill is set to reshape America’s political landscape — and deliver a wake-up call to millions ahead of the 2026 midterm elections.
Appearing on Fox News’s America’s Newsroom Thursday, Rove predicted that the bill’s Medicaid overhaul will have “massive” political impact.
“As these changes take effect — especially the Medicaid reforms — millions of Americans will feel it. And the 2026 elections will reflect that,” Rove warned.
Work for Benefits? GOP Says Yes
The “big, beautiful” Republican bill, strongly supported by President Trump, adds a strict 80-hour monthly work requirement for able-bodied adults receiving Medicaid. Rove pointed to research showing many on the program spend their days watching TV and playing online games — not working.
“Why are we funding health care for people who won’t lift a finger while seniors and the disabled struggle?” Rove asked.
Tillis Steps Down After Voting Against Trump-Aligned Bill
In a surprising move, Senator Thom Tillis (R-N.C.) announced he won’t seek reelection. His decision follows criticism for voting against the bill’s Medicaid reforms — a move that isolated him from conservative voters.
This marks the first major political fallout tied to the legislation — and could signal more to come as voters weigh in on Washington’s shifting priorities.
Twice-a-Year Eligibility Checks, Not Annual Freebies
One major change: Medicaid eligibility will now be reviewed every six months, not just once a year. This aims to stop ineligible recipients from abusing taxpayer-funded benefits.
“Medicaid was created to help the elderly, the disabled, and poor families — not able-bodied adults who refuse to work,” Rove emphasized.
Conservatives Must Stay on Offense
Rove issued a warning to fellow Republicans: “Don’t get complacent.” Passing the bill is only the beginning.
“We passed the bill, but now we need to sell it. Conservatives must get out there, explain why this matters, and stand strong,” he said.
As entitlement reform takes center stage, many in the conservative base — especially those 50 and older — are welcoming the shift toward fiscal responsibility, personal accountability, and protecting benefits for seniors who’ve paid in for decades.
Bottom Line: The Trump Agenda Is Back — and It’s Just Getting Started
With Medicaid reform, stricter work rules, and real political consequences already taking shape, the GOP is laying the groundwork for a conservative resurgence in 2026. And for many Americans tired of welfare abuse and government waste, this is exactly the kind of leadership they’ve been waiting for.
