But while the 2025 Medicaid debate on Capitol Hill feels like a 2017 replay, the GOP's latest effort toward a massive transformation could be more of a long shot, several health policy experts say. In the past eight years, Medicaid enrollment has surged to a record high, with the COVID-19 pandemic driving numbers up and nine more states expanding the program to cover more low-income Americans, including six controlled by Republicans. สล็อตเว็บตรง