Johnson, with scores of House Republicans this week to chart the way forward, and groups of GOP members are set to meet with Trump in Florida this weekend.
In addition to Medicaid and ACA cuts, the document floats clawing back bipartisan infrastructure and Inflation Reduction Act funding.
One senior GOP lawmaker, asked if there were any particularly controversial spending offsets dividing Republicans, replied: “They all feel pretty controversial.”
Johnson agreed to make $2.5 trillion in spending cuts through the budget reconciliation process as part of last year’s government funding negotiations. Asked in a brief interview Wednesday evening if he was targeting $5 trillion in spending offsets, he replied, “Not sure yet.”
The policy menu suggests Republicans could capture major savings from Medicaid — up to an estimated $2.3 trillion. The list includes so-called per-capita caps on Medicaid for states, meaning the program would be paid for based on population instead of being an open-ended entitlement, and would institute work requirements in the program.
The list also includes a policy to equalize payments in Medicaid for able-bodied adults with those of traditional Medicaid enrollment — those with disabilities or low-income children, which would save up to $690 billion.
It would “recapture” $46 billion in savings from Affordable Care Act health insurance plan subsidies, which are set to expire at the end of the year, setting up a major policy battle. It would also limit eligibility for plans based on citizenship status.