GOP Bill Cuts $1 Trillion Medicaid Funding, Threatens Coverage for 12 Million

The passage of President Trump's "One Big Beautiful Bill Act" (OBBBA) has triggered widespread concern over substantial Medicaid cuts nationwide, potentially affecting millions of Americans, particularly those with disabilities, older adults, and low-income individuals. The bill proposes nearly $1 trillion in Medicaid reductions over the next decade, including new work requirements mandating able-bodied adults to work 80 hours per month to maintain eligibility, which experts warn could lead to approximately 12 million people losing coverage. Healthcare providers and hospitals across states like Tennessee, Massachusetts, Missouri, and Illinois are preparing for the impacts, including increased administrative burdens, financial strain, and risks of service reductions or closures, especially in rural areas where Medicaid plays a critical role. Individuals like Dr. Gerald Christian, a person with disabilities reliant on Medicaid for essential daily care, fear losing access to life-sustaining services, while health system leaders emphasize efforts to support patients through the transition. Critics argue the legislation erects barriers to enrollment rather than directly cutting benefits, disproportionately affecting vulnerable populations who already face challenges balancing health and employment. Lawmakers defending the bill cite concerns about abuse of the social safety net, though many healthcare advocates warn of severe consequences for public health and community well-being.