Massive cuts to Medicaid will strip health coverage from nearly 12 million Americans after Trump’s ‘big beautiful bill’ narrowly cleared the Senate, with the bulk of losses hitting low-income families and disabled recipients

Vice President JD Vance cast the tiebreaking vote on Tuesday as Senate Republicans delivered a huge legislative victory for President Trump after a marathon 27-hour voting session that stretched through the weekend. The final tally was 50-50, with three Republican senators — Thom Tillis of North Carolina, Susan Collins of Maine and Rand Paul of Kentucky — joining all Democrats in voting against the measure.

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“Almost all of our Great Republicans in the United States Senate have passed our “ONE, BIG, BEAUTIFUL BILL.” It is no longer a “House Bill” or a “Senate Bill”. It is everyone’s Bill, Trump wrote on Truth social in celebration. “Our Country is going to explode with Massive Growth. To my GOP friends in the House: Stay UNITED, have fun, and Vote “YAY.” GOD BLESS YOU ALL!

But not all Americans are celebrating.

Prior to passage, the Congressional Budget Office warned that 11.8 million people would lose health insurance by 2034 under the Senate version, with the legislation cutting roughly $1.1 trillion in health care spending over the next decade. When combined with expiring Affordable Care Act subsidies and other Trump administration policy changes, an estimated 17 million people could become uninsured.”

The bulk of coverage losses would come from new work requirements forcing able-bodied Medicaid recipients aged 19 to 64 without dependents to work, volunteer, or complete other qualifying activities for 80 hours per month starting in late 2026. Additional savings come from capping taxes that states impose on hospitals and health plans to fund their Medicaid programs, cutting spending by a combined $375 billion.

Now the bill heads back to the House, where Speaker Mike Johnson faces his own challenges getting it passed by Trump’s July 4 deadline. Speaking to reporters, Johnson said he expects a vote Wednesday or Thursday “at latest,” but warned that severe weather across the East Coast has canceled over 1,200 flights, potentially creating attendance problems in the narrowly divided chamber.

    Eddie July 3, 2025 1:32 am

    This 50-50 medicalaid bill seem quite interesting, the Americans must have weighed and balanced their profound options, to be positive it’s only a matter of wait and see how it unfolds itself under well controlled resources and measures. Thank you Conservatives for the great job, as many rich and poor will benefit, a smart move into the right direction. Sometimes I wish I was in American resident, working smart like all Americans.

    Leah July 4, 2025 2:31 pm

    The only people getting cut from Medicaid are criminal border-jumpers and people who don’t qualify and are cheating the system.

    This will SAVE Medicaid for the people who need it and deserve it:

    Law-abiding American citizens.

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