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POLITICO: Nancy Pelosi’s midterms mission By DUSTIN GARDINER and BLAKE JONES
Presented by California Environmental Voters
Former Speaker Nancy Pelosi. Pelosi has made defending federal health care programs her focus as she tries to help Democrats take back the House in the 2026 midterms. | Tom Brenner/Getty Images [[link removed]] Former Speaker Nancy Pelosi. Pelosi has made defending federal health care programs her focus as she tries to help Democrats take back the House in the 2026 midterms. | Tom Brenner/Getty Images
THE BUZZ: GROUND GAME — Former Speaker Nancy Pelosi has a go-to line these days to criticize Rep. David Valadao : He could be the “one vote that cut Medicaid” by backing Republicans' megabill to bolster President Donald Trump’s domestic agenda.
Pelosi, in her post-speaker act as San Francisco’s representative in Congress, has made defending federal health care programs her key focus as she tries to help Democrats flip the House next year. She regularly targets battleground Republicans like Valadao — who, as Pelosi will note, “has close to 500,000 people on Medicaid” in his Central Valley district. About 64 percent of his constituents were enrolled in the program as of last August.
“I know the grassroots of California down to the last blade of grass. These people have made themselves really vulnerable,” Pelosi told Playbook in an extended interview. “We’re not doing this in the San Francisco Bay area, we’re doing this in the districts where the Republicans are.”
More than a year ahead of the midterms, she’s deploying her volunteer army to target GOP members in swing seats, including Valadao, Orange County Rep. Young Kim and Riverside County Rep. Ken Calvert . Pelosi’s Save Our Health Care campaign, part of her national PAC, is organizing multiple phone banks per week to target those vulnerable Republicans, and she’s raised more than $5.5 million this year to help boost the effort via the DCCC and her campaign committees.
Pelosi’s team said her volunteer events — including support from the state party and labor unions — have produced 140,000 phone calls to voters in those districts in the last six weeks. Volunteers urge voters to call Republican offices on Capitol Hill to protest proposed cuts to Medicaid, food stamps and other safety-net programs. Pelosi’s offensive is part of a volley of attacks Democrats have launched against Republicans over their push to slash safety-net spending.
The effort is reminiscent of Democrats’ strategy during the 2018 midterms, when GOP efforts to gut Obamacare led to a blue-wave year during Trump’s first term (when Democrats flipped 40 seats in the House). Pelosi, who championed the Affordable Care Act and has led a yearslong effort to protect the law, was the architect of the party’s successful strategy to flip control of the House that cycle.
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Pelosi argues a midterm cycle comparable to 2018 is already taking shape and that House Republicans sealed their fate last week when they narrowly passed Trump’s budget megabill on a 215-214 vote. The bill’s proposed changes to the Medicaid program, including new work requirements, would likely cause millions of recipients to lose coverage.
Valadao, Calvert and Kim have argued the bill protects crucial health care benefits for children, seniors, individuals with disabilities and pregnant women, groups that wouldn’t be subject to work requirements.
Senators are pledging to make major changes to the legislation, and Valadao — who has warned his colleagues against making deeper cuts to the program — has said he plans to work with the Senate to protect Medicaid and food assistance “for those who need them most.” Valadao, in a statement, argued the bill would achieve that aim “while rooting out waste, fraud and abuse from bad actors.”
But Pelosi says it’s outrageous to label food stamps and Medicaid benefits as waste without providing evidence of malfeasance. She also questions the sincerity of California Republicans who’ve vowed to make changes to the bill: “They all masquerade, but they all voted for it.”
Pelosi said she’s comfortable predicting that her successor, Hakeem Jeffries , will be the next speaker. It starts, she added, by capturing voter sentiment early: “Own the ground, and we will win.”
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