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Follow link for more information ACTION ALERT HELP Protect PACTT Participants Congress is currently working to pass legislation that could have a profound negative impact on Medicaidfunded IDD services. A budget framework moving forward in the U. S. House of Representatives calls for up to 2 trillion in budget cuts over ten years and directs the House Energy Commerce Committeewhich has jurisdiction over Medicaidto cut at least 880 billion in spending.