Trump Tax Bill Expected to Leave 12 Million Without Health Insurance

President Donald Trump's "One Big Beautiful Bill" tax and spending package, recently passed by the Senate and awaiting House approval, is expected to cause significant reductions in health insurance coverage across the United States. The bill proposes nearly $1 trillion in cuts to Medicaid over the next decade, which the nonpartisan Congressional Budget Office estimates will result in approximately 12 million Americans losing health care coverage by 2034. The legislation includes provisions such as stricter income eligibility verifications and work requirements for Medicaid enrollment, which critics argue will disproportionately affect vulnerable populations, including the homeless and low-income families. State officials in Vermont and Idaho predict tens of thousands will lose Medicaid and marketplace insurance coverage, with added concerns over reduced state ability to tax health care providers to fund Medicaid expansions. While proponents claim the bill targets waste, fraud, and abuse in federal programs, health care advocates warn it will lead to hospital closures, reduced services, and greater financial strain on low-income individuals. Overall, the bill represents a considerable shift away from the health coverage gains made under the Affordable Care Act, risking a rise in the uninsured population nationwide.