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Republicans are poised to pass the biggest cuts in health coverage ever. New York Times Opinion nytimes.com/2025/07/01/opi…

Should the ‘One Big Beautiful Bill’ reach President Trump’s desk, “it would represent the biggest rollback in federal support for health coverage ever,” writes KFF's Larry Levitt. For New York Times Opinion, Larry writes about the potential impact of the bill: nytimes.com/2025/07/01/opi…

NEW RURAL BRIEF KFF : Senate reconciliation bill would cut federal Medicaid funding in rural areas by $155B—$36B more than the House bill.kff.org/policy-watch/h…

There's a lot of focus on what Medicaid and ACA cuts would mean for hospitals, because hospitals have lobbyists. That doesn't negate what the cuts would mean for people, with about 12 million people projected to become uninsured due to the megabill.

Under the Senate-passed reconciliation bill, federal Medicaid spending in rural areas is estimated to decline by $155 billion. That is more than the House-passed bill — and far more than the $50 billion appropriated for the rural health fund. on.kff.org/45S2fOC

#ICYMI: Our summary now compares health care provisions of the reconciliation bill passed by the Senate on July 1 and the House on May 22 with current law in four areas: Medicaid, the Affordable Care Act, Medicare and HSAs. See the details: on.kff.org/3FfHWiZ

Over half of the Senate bill’s federal Medicaid spending reductions in rural areas are in 12 states that have large rural populations and have expanded Medicaid under the ACA. Kentucky would lose the most, an estimated $12 billion over 10 years. on.kff.org/45S2fOC

The Senate-passed reconciliation bill would cut federal Medicaid spending by $1 trillion, per CBO. The cuts would represent 15% of federal spending on Medicaid over 10 years — over $200 billion more than the cuts in the House-passed bill. on.kff.org/3ZWnUBp

CBO estimates that the Senate reconciliation bill would reduce federal Medicaid spending by $1 trillion. The spending cuts vary by state; Louisiana and Virginia are the most heavily affected with spending cuts of 21% over 10 years. on.kff.org/3ZWnUBp

⚡ KFF’s Liz Williams compares the increases in the federal Medicaid cuts in the Senate-passed reconciliation bill with the House-passed bill across states. #QuickTake on.kff.org/44zOKRr

New: Here’s how much bigger the Medicaid cuts are, by state, in the Senate bill vs. the House. Liz Williams kff.org/quick-take/sen…

The “One Big Beautiful Bill” would require states to impose cost-sharing of up to $35 per service for some Medicaid enrollees enrolled through the ACA Medicaid expansion with incomes between 100% and 138% of the federal poverty level. Get the details: on.kff.org/4nGLmNp

How much could certain Medicaid expansion enrollees have to pay under the new requirement included in the “One Big Beautiful Bill” if all states imposed the maximum cost sharing amounts? Our analysis shares some estimates: on.kff.org/4nGLmNp

The Senate bill would cut federal #Medicaid spending by $1 trillion over 10 years, per CBO. Provisions that only apply to ACA expansion states account for $526 billion of the federal spending reductions. Our analysis estimates the effects on states: on.kff.org/3ZWnUBp

The Republican megabill has many parts and was never framed for the public as a health care bill. But, it is the biggest cutback in federal support for health coverage ever.

In swing districts and states where control of Congress will be determined next year, Republicans are going to talk a lot about tax cuts and try to avoid talking about Medicaid and ACA cuts. Democrats will hammer away at the looming health care cuts Republicans just voted for.

Democrats will mow make Medicaid cuts a midterm election issue. But they face one big question ahead of that: will they shut down the government over extending the ACA tax credits? Premiums will spike and 4.2 million more people will be uninsured (CBO) if the credits lapse.

#ICYMI: Our summary compares health care provisions of the reconciliation bill passed by the Senate on July 1 and the House on May 22 with current law in four areas: Medicaid, the Affordable Care Act, Medicare and HSAs. See the details: on.kff.org/3FfHWiZ

Like after the ACA passed, everything bad that happens in health care is going to be blamed on the Republican megabill. That won't always be true, but it will be a lot of the time.

Did conservative R’s achieve THEIR "OBBB" health goals? SPENDING CUTS: A trillion. Yes. POLICY: No block grant or per capita cap. The expansion remains. Work requirements. Mixed. POLITICS: Most cuts impact after midterms. TBD. Is it good for the country? Different question.