Details of Provisions Related to Medicare, Medicaid & the Affordable Care Act

The House Budget Bill passed by Congressional Republicans would cause 16 million Americans to lose health care coverage, drive-up health care costs for consumers and states, and force cuts to hospitals and the health care system on which we all rely. Despite repeated public promises from President Trump and Republican lawmakers that they would not cut Medicaid, Medicare, or the Affordable Care Act, the proposal details $858.9 billion in cuts to Medicaid — the biggest cut to the program in history, as well as $349.4 billion in cuts from the Affordable Care Act, and triggers congressional rules that will force another $500 billion to be cut from Medicare. The bill also allows enhanced premium tax credits to expire, which would spike premiums for working families purchasing health insurance in the marketplaces, and an array of policies that would harm health for families in other ways, including by slashing at least $250 billion in food assistance provided to low-income families through SNAP. Taken together, this Budget Reconciliation bill would jeopardize the health and financial stability of millions of American families.

Read the section-by-section summary of key health care provisions in the One Big Beautiful Bill Act, the House Republicans’ proposed budget bill.