GOP Tax Bill Expected to Cut Medicaid, ACA Coverage for Millions

The Republican-led 'big, beautiful' budget reconciliation bill proposes substantial cuts to Medicaid, including nearly $700 billion in reductions, new work requirements, and stricter eligibility checks, which experts warn could result in approximately 14 million Americans losing health insurance coverage. Key provisions aim to gut the Affordable Care Act by ending subsidies for ACA marketplace plans, increasing enrollment barriers, and restricting premium tax credits, potentially forcing many to forgo or lose coverage. These Medicaid cuts are expected to severely impact vulnerable populations, including seniors, disabled adults, and those requiring at-home or nursing home care, prompting protests and opposition from lawmakers and advocacy groups. Caregivers fear that reductions in Medicaid-funded programs could disrupt the lives of individuals with intellectual and developmental disabilities who rely on community-based support. Meanwhile, changes in Medicare Advantage plans are occurring, with Health Alliance ending its Medicare Advantage plans by the end of 2025, and a controversial proposed bill to require Medicare Advantage plans to cover hospice care faces criticism for potentially reducing beneficiary choice and harming home health providers. The Senate has yet to approve the House bill, with some senators vowing strong resistance to the proposed Medicaid cuts and related policy changes.