This House Resolution expresses the sense of Congress that Medicaid is an important lifeline for the health care of millions of Americans, serving older adults, people with disabilities, and low-income families since its establishment in 1965 as a cooperative Federal-State program. It emphasizes Medicaid's role in protecting families' health, saving lives, and improving economic security across all 50 states. The resolution highlights recent legislative actions, including the One Big Beautiful Bill Act (H.R. 1) , which is projected to cut nearly $1 trillion from the Federal Medicaid program over 10 years and eliminate Affordable Care Act Enhanced Premium Tax Credits. These changes, alongside new federal Medicaid eligibility rules and paperwork requirements, are anticipated to cause 10 million Americans to lose their health care, leading to devastating consequences. Consequently, the resolution strongly urges the Centers for Medicare & Medicaid Services (CMS) to immediately collaborate with State Medicaid programs to issue guidance determining how these substantial funding cuts and new requirements under H.R. 1 will impact State Medicaid agencies and their enrollees.