washington spend medicaid healthcare program poor would 35 percent low current law 2036 draft bill repeal obamacare propose senate republicans become law non-partisan congressional budget office say thursday cbo estimate report request senate democrats current law medicaid spend would grow 5.1 percent year next two decades republican senate plan project growth 1.9 percent year 2026 3.5 percent per year subsequent ten years senate bill would cut medicaid spend 35 percent 2036 budget analyst