The “One Big, Beautiful Bill Act” that Republicans are making an attempt to ram by Congress is being billed as President Donald Trump’s tax and immigration invoice, extending the 2017 tax cuts that overwhelmingly favor the wealthy whereas funding Trump’s evil immigration crackdown.
However in actuality, the dogshit laws is only a backdoor approach for Trump and the GOP to repeal the Inexpensive Care Act, President Barack Obama’s signature legislative achievement that has helped tens of tens of millions of Individuals get medical health insurance or Medicaid protection.
“They’re not calling this ACA repeal and replace, but the coverage losses would be among many of the same people who would have lost their insurance under ACA repeal,” Larry Levitt, KFF govt vice chairman for well being coverage, advised the Washington Submit.
If it passes, the “One Big, Beautiful Bill Act” would power practically 14 million folks to lose their insurance coverage protection so the GOP might—partially—offset the price of tax cuts for the wealthy, which it will do in just a few methods.
First, the invoice basically scales again the ACA’s Medicaid growth by limiting the quantity that states can get reimbursed, leaving states to search out tens of millions in funding to cowl these prices or cut back who is roofed. Teams just like the American Hospital Affiliation strongly oppose the invoice, as adjustments to Medicaid’s reimbursement might result in hospital closures, particularly in rural areas that supported Trump in 2024.
“The Medicaid legislative proposals severely restrict the use of legitimate state funding resources and supplemental payment programs, including provider taxes and state directed payments, under the guise of eliminating waste, fraud and abuse. We reject this notion as these critical, legitimate and well-established Medicaid financing programs are essential to offset decades of chronic underpayments of the cost of care provided to Medicaid patients,” AHA President and CEO Rick Pollack mentioned in an announcement.
“These new policies are estimated to decimate federal support for the Medicaid program by more than $700 billion over 10 years and will displace health care coverage for millions of Americans, moving them from insured to uninsured status,” he added.
Republicans are additionally making an attempt to impose work necessities on Medicaid recipients, which consultants say will power eligible folks to lose their Medicaid because of onerous paperwork points.
In the meantime, Republicans are additionally refusing to increase an growth of subsidies that congressional Democrats handed of their first COVID-19 reduction invoice in 2021, which helped tens of millions of individuals afford insurance coverage. With out an extension, prices will enhance for tens of millions of Individuals, ultimately inflicting 5 million folks to lose their insurance coverage
However this might spell political doom for Republicans within the 2026 midterms.
An April ballot from Navigator Analysis reveals that the Obamacare subsidies are overwhelmingly standard, with 79% of individuals in help. And a March Civiqs ballot for Day by day Kos discovered that 63% of registered voters oppose slicing applications like Medicaid and meals stamps.
Democrats, for his or her half, plan to make this a spotlight within the 2026 midterms, with Senate Democrats drawing consideration to the invoice’s well being care cuts to gin up public backlash.
Equally, Defend Our Care, a bunch searching for to broaden well being care entry, is already working adverts in 11 GOP-held Home districts attacking Republicans who voted for the “One Big, Beautiful Bill Act.”
“By slashing health care, Republicans dared to touch the third rail of American politics,” Defend Our Care President Brad Woodhouse mentioned in a information launch.
“Republicans know how indefensible their tax bill is: that’s why they held hearings in the dead of night and wrote the bill behind closed doors. We’re making sure the American people know the dire consequences of what their elected officials voted for and, undoubtedly, Republicans will pay a heavy price for putting billionaires ahead of their constituents’ health,” he continued.
Historical past reveals that this may be extraordinarily potent for Democrats in 2026. Bear in mind, well being care was the difficulty that helped win again the Home in 2018 when Democrats ran adverts attacking GOP lawmakers for voting to repeal Obamacare, main dozens of Republicans to lose their seats. And now they’re hoping that historical past will repeat itself.
“Their entire agenda can be boiled down to this: billionaires win and families lose,” Senate Minority Chief Chuck Schumer wrote in a letter to Senate Democrats on June 1. “Billionaires win and families lose when Republicans kick millions of Americans off their health insurance by dismantling the ACA and proposing the largest cut to Medicaid in American history.”
