In San Diego County, 1 in 6 people rely on Medicaid. That's why I hosted a Medicaid roundtable in El Cajon yesterday to hear directly from people who these cuts will impact. This isn't a faceless program – cutting Medicaid would do serious harm.
Congress Member Profile|U.S. Representative|Democrat|California District 51
Sara Jacobs
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Voting Record — 535
Yes40%
No59%
Present1%
Not Voting0%
Party align98%
Cross-party0%
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District Map
Congressional District 51
U.S. Census Bureau boundary data.
Social & Web
External Resources
Sara Jacobs
U.S. RepresentativeDemocratCalifornia District 51
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Sara's ATmosphere Activity
20 recent posts · 25 sponsored · 136 cosponsored
Recent ATmosphere posts, sponsorships, and cosponsorships.
Nicole shared with me that Medicaid cuts would mean she can’t afford even one month of medication for her son with special needs. I heard so many powerful stories like hers at San Ysidro Health’s El Cajon clinic – and that’s why I’ll keep fighting for Medicaid.
This report is just the latest proof that the sewage flowing through the Tijuana River Valley is making San Diegans sick. I've brought home $650 million dollars of federal funding to address the Tijuana River Valley crisis and I will keep working until we finally end this crisis.
#GRWM while I explain how Republicans’ budget proposal to cut $2.5 trillion from Medicaid will affect you.
Unlike Elon Musk and Trump, I am actually working to improve government efficiency and effectiveness. With over 30+ agencies involved, our current federal disaster relief process is way too complex for survivors to navigate. I introduced a bill to help fix that system.
Cutting off legal aid for migrant children and abandoning them to face our confusing immigration system alone is simply unjust. Trump is leaving these kids vulnerable to exploitation and denying their rights to due process.
This is straight out of the Project 2025 playbook. Tracking and surveilling pregnancy is dangerous and should be off-limits.
The federal disaster recovery system IS broken – but Trump’s mass firings won’t fix it. Instead, people who have already lost everything to fires, hurricanes, and flooding will be forced to wait even longer for relief.
Disaster survivors need real reform, not a wrecking ball.
I’m deeply skeptical about this – but I’d love to be proven wrong. How about President Trump starts by supporting my legislation to expand IVF coverage for all service members and dependents – something I’ve championed for years and will soon introduce?
DOGE needs to hear this: firing people – like USDA workers tracking bird flu and VA workers answering the Veterans Crisis Line – and then rehiring them is deeply inefficient.
Trump said he wouldn’t touch Medicaid. He lied. (Shocking, I know.)
Today, Trump fully endorsed House Republicans’ proposal to cut federal Medicaid funds by $2.5 trillion. Here’s what that could mean for you:
The best way to end the horrific war and genocide in Sudan is to get the UAE to stop arming the RSF. As one of the biggest arms suppliers to the UAE, the U.S. has the leverage here – and we need to use it. That’s why I will again try to block the next U.S. arms sale to the UAE.
Our trans service members are an asset to our Armed Forces. Many of them are senior-enlisted, have deployed multiple times, and have invaluable experience. Kicking them out would cost our country billions of dollars.
USAID helps keep Americans safe from diseases, terrorism, and instability around the world – and dismantling it is illegal without an act of Congress. That’s why I introduced legislation to reiterate existing law and prohibit funds from being used to eliminate USAID.
And you know what won’t help rising housing prices and inflation? President Trump’s tariffs on steel and aluminum.
Elon Musk is trying to pay for his own tax cuts with your health care.
I introduced a new bill to protect #USAID. If I had introduced it in December, it would have had broad bipartisan support. But now, Republicans are silent. #PodSavetheWorld
Don’t fall for this. The Life at Conception Act bans abortion, restricts IVF, and polices pregnancy.
The USAID Inspector General found that Elon Musk’s illegal gutting of USAID has left oversight controls “largely non-operational” – which means what Elon Musk is doing is actually INCREASING the possibility of waste, fraud, and abuse.
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Voting History535 total votesExpandCollapse
Voting History
535 total votes
Recent roll calls with party-majority context so it is easier to scan how this member tends to vote.
| Date | Bill | Question | Position | Party Maj | Align? | Result |
|---|---|---|---|---|---|---|
| 2025-12-16 | H. Res. 951 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-12-16 | H.R. 3187 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-12-15 | S. 284 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-12-12 | H.R. 3668 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-12 | H.R. 3668 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-12-11 | H.R. 2550 (119th) | Final passage | YES | YES | ✓ | Passed |
| 2025-12-11 | H. Res. 432 (119th) | Approve resolution | YES | YES | ✓ | Passed |
| 2025-12-11 | H.R. 3898 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-11 | H.R. 3898 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-12-11 | H.R. 3383 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-11 | H.R. 3383 (119th) | Approve amendment | YES | YES | ✓ | Failed |
| 2025-12-11 | H.R. 3383 (119th) | Approve amendment | YES | YES | ✓ | Failed |
| 2025-12-11 | H.R. 3383 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-12-11 | H.R. 3638 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-11 | H.R. 3628 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-11 | H. Res. 939 (119th) | Kill the motion | NO | NO | ✓ | Passed |
| 2025-12-10 | H. Res. 432 (119th) | Motion to Discharge | YES | YES | ✓ | Passed |
| 2025-12-10 | S. 1071 (119th) | Final passage | NO | YES | ✕ | Passed |
| 2025-12-10 | S. 1071 (119th) | Motion to Commit | YES | YES | ✓ | Failed |
| 2025-12-10 | H. Res. 936 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-12-10 | H. Res. 936 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-12-10 | H.R. 1676 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-12-09 | S. 356 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-12-04 | H.R. 1049 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-04 | H.R. 1069 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-03 | H.R. 1005 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-03 | H.R. 4305 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-03 | H.R. 2965 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-12-02 | H. Res. 916 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-12-02 | H. Res. 916 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-12-02 | H.R. 4423 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-12-01 | H.R. 5348 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-11-20 | H.R. 1949 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-20 | H.R. 3109 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-20 | H. Res. 893 (119th) | Motion to Refer | NO | YES | ✕ | Passed |
| 2025-11-20 | H.R. 6019 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-11-20 | H.R. 4058 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-11-20 | H.R. 5107 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-20 | H.R. 5214 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-19 | H. Res. 888 (119th) | Approve resolution | NO | NO | ✓ | Failed |
| 2025-11-19 | S.J. Res. 80 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-19 | H.J. Res. 131 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-19 | H.J. Res. 130 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-11-18 | H. Res. 888 (119th) | Motion to Refer | YES | YES | ✓ | Failed |
| 2025-11-18 | H. Res. 878 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-11-18 | H. Res. 879 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-11-18 | H. Res. 879 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-11-18 | H.R. 4405 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-11-18 | H. Res. 878 (119th) | Kill the motion | YES | YES | ✓ | Failed |
| 2025-11-18 | H.R. 2659 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
Alignment stats consider only votes where a clear yes/no majority existed for the legislator's party. Cross-party marks divergence where the vote matched the opposite party majority. ↔ indicates cross-party divergence.