Trump signed H.R. 1 (One Big Beautiful Bill) cutting over $1 trillion from health programs - largest rollback of federal support for healthcare in American history. CBO estimates 10 million more uninsured. Cuts $1 trillion from Medicaid through work requirements and provider tax restrictions. Rural hospitals lose 20%+ funding.
Trump Signs Bill Cutting Over $1 Trillion From Health Programs as CBO Estimates 10 Million More Uninsured
Key Facts13
- 01Signed July 4, 2025 - cuts over $1 trillion from health programs
- 02Congressional Budget Office: 10 million more people without health insurance by 2034
- 03Some estimates show 12 million more uninsured when including ACA marketplace changes
- 04$1.1 trillion cut from healthcare spending over next decade
- 05More than $1 trillion of cuts come from Medicaid
- 06Provider tax restrictions curtail how states increase Medicaid payments to hospitals and nursing homes
- 07Rural hospitals lose over 20% of funding in more than half of states
- 08Hospitals would lose 18% of Medicaid funding - nearly $665 billion over 10 years
- 09Nine-year ban on implementing improvements to Medicare Savings Programs for lower-income beneficiaries
- 10Medicines for rare diseases exempted from Medicare drug price negotiations (benefit pharmaceutical companies)
- 11Law adds $3.4 trillion to deficit despite massive healthcare cuts
- 12Described as 'devastating' for reproductive health care coverage
- 13States scrambling to shield hospitals from cuts
Sources9
Verified across 9 sources
—News Reports
Medicaid cuts will leave millions uninsured, threaten rural hospitals→How Trump's tax bill will affect Medicaid, ACA plans and hospitals→States scramble to shield hospitals from GOP Medicaid cuts→Higher premiums and lost coverage: How Trump's budget changes health care in California→Cuts to Medicaid hurt hospitals - why lobbying against them failed→