Congressional GOP Plan Cuts $698B Medicaid Over Decade, Raises Uninsured by 8.6M

President Donald Trump's legislative agenda includes the "One Big Beautiful Bill Act," which passed narrowly in the House and now awaits Senate consideration. The bill proposes nearly $800 billion in Medicaid spending cuts over ten years, primarily through imposing work requirements and more frequent eligibility renewals, which experts warn will increase the uninsured population by millions and place heavy burdens on vulnerable groups, including the elderly and disabled. Congressional Republicans claim these cuts will not reduce coverage, but research and analyses by entities like the Congressional Budget Office and health advocates contradict such assurances, highlighting the risk of lost benefits and deeper economic harm to families relying on Medicaid. Democratic lawmakers and health advocates criticize the bill for prioritizing tax breaks for the ultra-rich over essential health care and food assistance programs that sustain local economies and family livelihoods. Public opposition to Medicaid cuts crosses party lines, underscoring widespread concern about the impact on health and economic stability. Meanwhile, broader healthcare challenges persist, including complexity and confusing billing that deter care even when insurance coverage exists.