A recent survey found that several policies contained in the House version of President Donald Trump’s “one big, beautiful bill” are broadly popular among voters across a spate of key congressional districts which will help decide the outcome of the 2026 midterms.
The poll by Republican pollster Fabrizio, Lee & Associates, surveyed 72 “targeted” House districts to gain a better understanding of how voters feel towards key policies in the sweeping tax and spending bill. As House Republicans wish for the bill to leave the Senate unscathed, the positive voter responses across a variety of issues may serve as a major selling point for the bill as it currently stands.
Medicaid
The most popular of the bill’s policies among the key districts’ voters was its Medicaid work requirements. A significant majority — 72% — of voters across the districts surveyed said they were in favor of “requiring able-bodied, working-age adults who receive Medicaid to at least look for work or participate in community service part-time in order to keep their Medicaid benefits.”
Another Medicaid-related policy proved popular among the poll’s sample, with 68% of voters in targeted districts saying they were in favor of tightening the program’s eligibility requirements. Those voters agreed with “strengthening Medicaid eligibility integrity, which would require states to better screen enrollees and to immediately end coverage of people who are ineligible.”
Medicaid requirements — championed by members of the conservative House Freedom Caucus such as Republican Reps. Chip Roy of Texas and Ralph Norman of South Carolina — are a major discussion in the Senate.
Some Republican senators including leading populist Sen. Josh Hawley of Missouri, as well as moderate Sens. Lisa Murkowski of Alaska and Susan Collins of Maine, are advocating against potential cuts to Medicaid.
Trump said he only wants to see Medicaid reforms that address “waste, fraud and abuse,” telling fiscal hawks in the House “don’t fuck around with Medicaid” as the bill received its final markups last week.
Border Security
Another 68% of voters support policies around strengthening the border, saying they were in favor of “providing funding and equipment for the U.S. Military to disrupt illegal drug supply chains and other forms of illicit trafficking in order to support U.S. law enforcement in their fight against drug cartels.”
Meanwhile, 57% of voters are in favor of “hiring nearly 40,000 additional ICE [Immigration and Customs Enforcement] and Border Patrol agents to address illegal immigration as well as drug and human trafficking.”
Taxes
Trump’s 2024 campaign promise of “no taxes on tips” — which has already proved popular across party lines in the Senate — was supported by 63% voters in key districts, the poll showed. Another majority of 59% favored ending overtime taxes.
Also regarding taxes, 61% of voters surveyed were in favor of “extending the tax cuts for individuals that President Trump signed in his first term, which are set to expire at the end of 2025.”
With regard to the two policies related to Medicaid, as well as the bill’s extension of Trump’s 2017 tax cuts, the poll told its respondents how much each respective policy is projected to save American taxpayers.
Of those who took the poll, 35% were Democrats, 32% were Republicans and 26% identified as Independents. The survey included voters across all age and education level cohorts, as well as from all four geographic Census divisions.
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