FactCheck.org found that a Democratic outside group's ad falsely claims Sen. Susan Collins 'voted to support' the One Big Beautiful Bill Act's Medicaid cuts; Collins was actually one of three Republicans who voted against the bill's final passage in July 2025, citing its Medicaid changes as her main objection. The ad, sponsored by Affordable Maine and backed by over $473,000 in spending, cites only her earlier procedural vote to advance the bill to debate.
Collins's statement at the time said she could not support the Medicaid changes, estimated to cut $5.9 billion from Maine over ten years, warning of threats to rural hospitals and coverage for the roughly 400,000 Mainers who rely on the program. The bill passed anyway via Vice President JD Vance's tie-breaking vote; had Collins also voted against advancing it, the motion still would have tied 50-50 with Vance available to break it.
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