House Republicans Advance Big Beautiful Bill with Major Medicaid, Tax Reforms

President Trump's 'One Big Beautiful Bill Act' aims to implement significant spending cuts, including drastic reductions to Medicaid, alongside making his 2017 tax cuts permanent. The Congressional Budget Office warns that Medicaid cuts could leave at least 8.6 million more Americans uninsured by 2034, with critics like Senator Schumer highlighting the risk to tens of thousands in specific districts. Medicaid funding reductions would also affect preventive care services such as those provided by Planned Parenthood, which serves many Medicaid recipients. Meanwhile, the House Budget Committee advanced the expansive 1,116-page bill, which includes raising the state and local tax deduction cap but faces internal GOP debates over its provisions. The Joint Committee on Taxation estimates the bill's tax cuts would cost trillions over the next decade, worsening deficits despite some offsetting revenue measures. State and local officials express concern that federal Medicaid cuts will shift financial burdens down to them, complicating budget planning.