The Leviticus 25 Plan Generates $37.303 Billion Federal Budget Surpluses Annually (2027-2031). Part 3: Medicaid, Medicare, VA, TRICARE, FEHB, SSDI Recapture

The Leviticus 25 Plan 2027 – the most powerful economic acceleration plan in the world: Updated economic scoring summary.

Medicaid/CHIP Recapture
Each U.S. citizen participating in The Plan will receive a $35,000 deposit, funded through a Federal Reserve / U.S. Treasury Department-based Citizens Credit Facility, into a personal Medical Savings Account (MSA).

The Leviticus 25 Plan assumes 80% participation by Medicaid / CHIP enrollees.
Within this comprehensive economic plan, The U.S. Health Care Freedom Plan provides
Medical Savings Account (MSA) funding of $35,000 to cover the $7,000 deductible for Medicaid and CHIP eligible primary care events and select out-patient care services – primarily related to routine medical appointments, Medicaid prescription events, disease state monitoring clinics, and other desired primary care services.

September 2025 Medicaid & CHIP Enrollment – 77.05 million individuals were enrolled in Medicaid and CHIP in the 50 states and the District of Columbia that reported enrollment data for September 2025. 69,797,328 people were enrolled in Medicaid; 7,252,967 enrolled in CHIP.

Using a conservative estimate of 77.0 million for 2025, with a projected annual growth rate of 2%:
2025: 77.00 million
2026: 78.54 million
2027: 80.11 million
2028: 81.71 million
2029: 83.34 million
2030: 85.10 million
2031: 86.80 million

Total: 417.06 million receiving benefits 2027-2031

Average annual enrollment (2027-2031): 83.41 million
83.41 million X .8 = 66.728 million X $7,000/year X 5 years = $2.335 trillion

Total Medicaid/CHIP recapture during the 5-year target period (2027-2031): $2.335 trillion

Source(s): https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-enrollment-data/report-highlights/index.html

https://www.healthcarefinancenews.com/news/medicaid-enrollment-higher-pandemic-kff-finds
https://www.kff.org/medicaid/state-indicator/federalstate-share-of-spending/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

Note 1: The potential savings of $2.002 trillion does not take into account the additional savings to state and local government outlays, which range from 17% to 39% of total Medicaid-CHIP spending.
Source: https://www.kff.org/medicaid/state-indicator/federalstate-share-of-spending/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
Note 2: The potential savings of $2.002 trillion does not take into account the certainty of additional savings from individuals no longer being eligible for Medicaid-CHIP, due to their improving financial status.

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Medicare Recapture
Each U.S. citizen participating in The Plan will receive a $35,000 deposit, funded through a Federal Reserve / U.S Treasury Department-based Citizens Credit Facility, into a personal Medical Savings Account (MSA).

The Leviticus 25 Plan assumes 80% participation by Medicare enrollees.
Within this comprehensive economic plan, The U.S. Health Care Freedom Plan provides
Medical Savings Account (MSA) funding of $35,000 to cover a $7,000 annual deductible for Medicare-eligible primary care events and select out-patient services – primarily related to routine medical appointments, Medicare Part D prescription events, disease state monitoring clinics, and other desired primary care services.

There were 69.6 million people were enrolled in Medicare as of October 2025.

Projection: “Medicare spending grew 7.8% to $1,118.0 billion in 2024, or 21 percent of total National Health Expenditures.”

“Over 2024-33 average NHE growth (5.8 percent) is projected to outpace that of average Gross Domestic Product (GDP) growth (4.3 percent), resulting in an increase in the health spending share of GDP from 17.6 percent in 2023 to 20.3 percent in 2033.”

“Medicare enrollment is projected to grow steadily, with total beneficiaries rising to an estimated 78-79 million by 2030-2031.”

Applying a conservative projected enrollment growth rate of 2.5% annually through 2031, with an 80% participation rate, and a $7,000 annual deductible for the 5-year target period (2027-2031):
2025: 69.60 million X .8 X $6,000 = $334,080,000
2026: 71.34 million X .8 X $6,000 = $342,432,000
2027: 73.12 million X .8 X $7,000 = $409,472,000
2028: 74.95 million X .8 X $7,000 = $419,720,000
2029: 76.82 million X .8 X $7,000 = $430,192,000
2030: 78.74 million X .8 X $7.000 = $440,994,000
2031: 80.70 million X .8 X $7,000 = $451,920,000

Total Medicare recapture during the 5-year target period (2027-2031): $2.152 trillion

Detailed enrollment data can be viewed here: https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment.

Source(s): https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/nhe-fact-sheet
https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment / https://www.cms.gov/newsroom/press-releases/cms-office-actuary-releases-2021-2030-projections-national-health-expenditures

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VA Healthcare
The Leviticus 25 Plan assumes 80% participation by Veterans Administration healthcare enrollees. Within this comprehensive structure, The U.S. Health Care Freedom Plan provides Medical Savings Account (MSA) funding of $35,000, through a Federal Reserve / U.S. Treasury-based Citizens Credit Facility, to cover annual $7,000 deductibles for VA primary healthcare services over the course of the 5-year target period (2027-2031).

FY 2025 – 9.2 million enrollees in the VA health care system.
The plan assumes a stable 9.2 million enrollment in the VA Health Care System.

2027: 9.2 X 0.8 X $7,000 = $51,520,000,000
2028: 9.2 X 0.8 X $7,000 = $51,520,000,000
2029: 9.2 X 0.8 X $7,000 = $51,520,000,000
2030: 9.2 X 0.8 X $7,000 = $51,520,000,000
2031: 9.2 X 0.8 X $7,000 = $51,520,000,000

Total recapture: $257,600,000,000

Average annual recapture (2027-2031): $51.52 billion

Total recapture 2027-2031: $257.6 billion

Sources: https://department.va.gov/administrations-and-offices/management/archived-plans-and-reports/ https://www.va.gov/health/aboutvha.asp
Note: Budget Request (FY 2026) of $441.3 billion represents a 10% increase over the total VA budget for FY 2025.

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TRICARE
The Leviticus 25 Plan assumes 80% participation by qualified TRICARE enrollees.

Through The U.S. Health Care Freedom Plan component, participating members will receive a Medical Savings Account (MSA) funding injection of $35,000, through a Federal Reserve / U.S. Treasury Department-based Citizens Credit Facility, to cover annual $7,000 deductibles for desired primary care and out-patient services over the course of the 5-year target period (2027-2031).

There are currently ~9.4 million U.S. citizen beneficiaries in various locations around the world.
Recapture – total (2027-2031): 9.4 million X 0.8 X $7,000 X 5 years: $263.2 billion

Source: https://dha.mil/About-DHA/TRICARE-Numbers
Note: Outpatient visits: 87.9 million; Prescriptions filled: 101.7 million

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Federal Employee Health Benefits (FEHB)
The Leviticus 25 Plan assumes 80% participation by FEHB enrollees.
Participating members will receive a Medical Savings Account (MSA) funding injection of $35,000, through a Federal Reserve / U.S. Treasury Department-based Citizens Credit Facility, to cover annual $7,000 deductibles for desired primary care and out-patient services over the course of the 5-year target period (2027-2031).

FEHB Program carriers cover most active, full-time civilian employees and retirees of the U.S. government and their families. The Program now provides benefits to over 8.2 million federal enrollees and dependents and offers over 180 health plan choices to federal members.

Note – the Federal government also pays approximately 72% of premium costs per enrollee.
Recapture – total (2027-2031): 8.3 million X 0.8 X $7,000 X 5 = $229.6 billion

Source: https://www.opm.gov/news/secrets-of-opm/open-season/

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Social Security Disability Income (SSDI)
The Leviticus 25 Plan specifies that qualifying participants will not be eligible for SSDI benefits. The Plan assumes 80% participation by SSDI recipients.

December 2025 – total beneficiaries: 8.163 million recipients;
Total monthly SSDI benefit payments: $12.182 billion;
Total annual SSDI benefit payments: $146.184 billion.

This projection assumes a conservative 3% growth per year for 2027-2031, covering both enrollment growth and COLA:
2025: $146.184 billion
2026: $150.570 billion
2027: $155.087 billion
2028: $159.740 billion
2029: $164.532 billion
2030: $169.468 billion
2031: $174.552 billion

Total: $823.379 billion / Average per year: $164.676 billion

Total for 5-year target period 2027-2031:
Plan assumes 80% participation – recapture: $823.379 billion X 0.8 = $658.70 billion

Source(s): Social Security Benefits Dec 2025 – Disability Insurance
https://www.ssa.gov/policy/docs/quickfacts/stat_snapshot/
https://www.cbpp.org/research/social-security/social-security-disability-insurance-0

“SSDI benefits are financed primarily by part of the Social Security payroll tax..”

“Social Security’s trustees project that the share of people in the United States receiving SSDI will rise somewhat over the next 20 years and then remain stable.”

Note: The 3% growth projection, covering both the enrollment increase and annual COLA, is likely a conservative estimation for the period 2027-2031.

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