The Republican reconciliation law, enacted on July 4, will take health coverage away from millions of people and dramatically raise health care costs for millions more. The so-called “Big Beautiful Bill” is anything but beautiful; it will cause widespread harm by making massive cuts to Medicaid, Affordable Care Act (ACA) marketplace coverage, and SNAP, which will raise costs on families and make it much harder for them to afford the high cost of groceries and health care.
The law cuts more than $1 trillion from Medicaid and ACA marketplaces, according to Congressional Budget Office (CBO) estimates. Major cuts include a provision that takes away Medicaid from people who are eligible for the ACA Medicaid expansion but can’t show that they meet a work requirement, other red tape that will block people from enrolling in health coverage they are eligible for, and provisions that take away health coverage, across all major programs, from most categories of immigrants living lawfully in the U.S.
