11.8 million people to lose health coverage

Washington, D.C. — Today, the U.S. House of Representatives narrowly approved the “One Big Beautiful Bill” (OBBBA), sending it to President Trump’s desk just ahead of his July 4 deadline. The massive 887‑ to 1,100‑page budget reconciliation package extends the 2017 tax cuts and introduces notable new deductions, while reducing federal spending on key social safety nets:

• Tax & Revenue Boosters

  • Permanent extension of 2017 tax cuts

  • New deductions for tipped and overtime income, Social Security, estate taxes, and car loans

  • Expanded child tax credit through 2028

• Cuts to Medicaid & SNAP

  • Nearly $930 billion trimmed from Medicaid over ten years via stricter eligibility checks, reduced provider funding, and migrant exclusions

  • Estimated 11–17 million Americans projected to lose health coverage by 2034

  • SNAP funding slashed by ~$186 billion

• Social Program Work Mandates

  • First-ever Medicaid work requirements: 80 hours/month of work, volunteering, or training for childless adults aged 19–64, starting end of 2026

  • States must verify eligibility twice a year and will be penalized for undocumented immigrant coverage

• Other Provisions

  • Cuts to clean energy tax incentives, phasing out wind/solar credits

  • Increases in military and border spending, including $175 billion for immigration enforcement

• Fiscal Impact

  • Expected to add roughly $3–3.3 trillion to the national debt over the next decade

Reactions
Republican leaders framed the bill as a “historic pro-growth” agenda aligned with President Trump’s priorities. Democrats condemned it as a “reverse Robin Hood,” accusing it of giving tax breaks to the wealthy at the expense of vulnerable Americans. House Minority Leader Hakeem Jeffries delivered a nearly nine-hour floor speech, calling it “One Big Ugly Bill”.

State leaders in Texas, including Rep. Sylvia Garcia, Rep. Al Green, and Rep. Joaquin Castro, warned of severe impacts on rural and Hispanic communities, with potentially 14 million Texans losing health coverage.

What’s Next:

• President Trump is expected to sign the bill on July 4.

• New provisions may take effect quickly, especially Medicaid work requirements starting late 2026.

• Political backlash is expected in upcoming 2026 midterms, especially in states hit hardest by cuts, with Democrats pledging to reverse the changes in future legislative sessions.