Washington, D.C. — A sweeping new proposal known as the “Big Beautiful Bill” is advancing through Congress, promising tax cuts and spending reforms—but critics say it comes at a devastating cost to low-income Americans.
If passed, the legislation could reduce Medicaid spending by a projected $793 billion by 2034, potentially leaving over 10.9 million people without health coverage, according to the Congressional Budget Office (CBO).
While Republicans backing the bill argue that it cuts waste and fixes a broken system, healthcare advocates fear it could dismantle vital protections established under the Affordable Care Act (ACA).
Opponents say the proposed eligibility crackdowns, work requirements, and spending cuts will hit the poorest and most vulnerable communities the hardest.
Who Will Be Affected?
- Adults ages 19 to 64 would face new work requirements unless they qualify for strict exemptions.
- Eligibility checks would occur twice a year, increasing the risk of people losing coverage over minor bureaucratic issues.
The bill would disqualify
- Undocumented immigrants
- Gender-affirming healthcare
- Abortion-related procedures from non-governmental providers
Hospitals that serve a large number of Medicaid patients also face reduced reimbursements, which could lead to service cuts, layoffs, or closures, affecting healthcare access for entire communities.
Read Also: Elon Musk Criticizes Trump’s ‘Big, Beautiful Bill,’ Says It Will Cost Millions of Jobs
Beyond Healthcare: SNAP Cuts Add Pressure
In addition to Medicaid rollbacks, the bill also proposes a 20% reduction in SNAP (Supplemental Nutrition Assistance Program) benefits, threatening food security for millions of working families.
According to data from KFF (Kaiser Family Foundation), the combined Medicaid and ACA cuts could leave up to 17 million Americans uninsured by 2034. Research indicates this could result in 8,200 to 24,600 excess deaths each year due to lack of access to care.
Do you believe this bill will fix inefficiencies—or create a healthcare crisis? Share your opinion in the comments below and join the conversation.
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