How Will Trump’s Big, Beautiful Bill Impact Medicaid Users? Here’s What Experts Say

Billions of Medicaid cuts adopted by the Republicans as part of “One Big Beautiful Bill” by President Trump will have generalized negative implications on people across the United States, said several experts Nowsweek.

Why it matters

Trump’s tax overhaul and the expense reductions package, which was adopted Thursday during a 218-214 vote in the House after months of bargaining in the two chambers of the congress, aroused wider concerns concerning access to health care and financing, twists the vulnerable populations which are based on Medicaid and the social security net.

The CBO estimates that the cuts of around 1 dollars in Medicaid during the next decade will make sure that 12 million people lose coverage by 2034. Trump had repeatedly promised not to reduce Medicaid services, in particular by the own admission of the White House as recently as Mars. The cuts are deeply unpopular, according to polls, and have a political challenge for the Republicans before the mid-term elections next year.

What is the big and beautiful bill?

The One Big Beautiful Bill law is a radical reconciliation package that advances the agenda of Trump’s domestic policy. It includes major tax reforms, spending reductions and regulatory changes in several sectors. The bill adopted the Chamber and the Senate according to the parties and is positioned as a cornerstone of the legislative objectives of the second term of Trump.

The 1,200 pages package will be:

• Permanently extend the Trump 2017 tax reductions, while exempting the remuneration for overtime, tips and certain income from social security.
• Impose the work requirements of 80 hours on many adults receiving Medicaid and apply existing SNAP work rules to additional beneficiaries.
• Abrogate tax credits for most of the clean energies created by President Biden.
• Authorize a border security overvoltage of $ 40 billion and finance a national expulsion initiative.
• Make the federal debt ceiling of 5 billions of dollars, the Congressional Budget Office believing that it could add 3.4 billions of dollars to the deficit over the next 10 years.

When did the great bill adopt the Senate?

The bill narrowly adopted the Senate on Tuesday after a night session.

Voting 50-50 generally along the partisan lines was overthrown in favor of the Republicans by Vice-President JD Vance, who voted the decisive vote of the equality break.

Has the big and beautiful invoice been signed?

President Trump signed his tax lounge and expense expenses on a white house ceremony on Friday.

How the great and beautiful bill will have an impact on the beneficiaries of Medicaid

The bill includes MEDICAIDI admissibility changes, in particular by obliging the beneficiaries of Medicaid to do a kind of work for at least 80 hours per month, which has prompted many experts in health care and legislators to warn that it will only reject millions of people.

Other concerns include a decrease in care in rural communities and an increase in pocket costs for doctors’ visits.

To adapt to the tax reductions signature of the bill, which mainly benefit the rich, the cuts must come from somewhere, according to Miranda Yaver, assistant professor of policy and health management at the University of Pittsburgh.

In accordance with previous republican approaches, the cuts come from American security programs, she said.

“One in five American depends on Medicaid for their health coverage, and one in seven is based on Snap for their food security, so the reduction in these critical programs will be devastating,” Yaver said.

According to KFF, around 92% of Medicaid beneficiaries already operate or are exempt from KFF.

But what threatens their coverage is not non-compliance with working hours; On the contrary, the administrative charges of documentation of their work or their exemption, according to Yaver.

“For this reason, the requirement may be better characterized not as a work requirement, but rather as a requirement as a paperwork. … Some have qualified the requirements of paperwork of Medicaid as a solution in search of a problem, because unlike certain characterizations of people playing video games in the basements, most people of Medicaid work or would be exempt,” she said.

“I do not think it is a solution to find a problem as much as it is a solution to a different problem: low -income Americans are provided health insurance.”

Jake Haselswerdt, an associate professor at the Truman School of Government & Public Affairs of the University of Missouri, agreed that the paper aspect would probably be a problem.

“We are going to have to see, what do regulations look like? How do states use?” Haselswerdt said Nowsweek. “But I am not optimistic, especially coming from a point of view from Missouri.

“We may have the worst Medicaid agency in the country. Waiting times in the call center have sometimes been the worst in the country.”

Chris Howard, professor of government and public policy at William & Mary, said Nowsweek which cuts to Medicaid and the Act respecting affordable care [ACA] will have “deep effects” at the state level.

Millions of people across the country will lose health insurance, he said, including around 300,000 in his state of Virginia.

“Basically, the Republicans try to undermine the main parts of [Affordable Care Act, or Obamacare] Without having to replace them, “said Howard.” They learned that “the repeal and replacement” did not work in Trump’s first term, so now they just want to repeal “.

The large rural populations in some of the hardest affected states, such as Virginia and Kentucky who have expanded Medicaid under the ACA, will receive a reduction in federal funding for people who count on Medicaid.

“States cannot manage budget deficits, and they are very unlikely to replace all lost funds,” said Howard. “More people will lose a blanket. In the health care system, each dollar benefit for someone is also a dollar income to someone else.

“Hospitals and nursing homes, especially in rural areas, depends strongly on Medicaid dollars. Many of them will have to fire workers or close. If hospitals have to provide more unpaid care for unhealthy, there will be pressure on private insurance to increase rates.”

Rural hospital closures not only increase driving distances for medical care, said Yaver, but they can also dissuade companies from working in communities with an economic slowdown.

She called the Rural Hospital Fund in the bill “a drop in the bucket in relation to devastation was heading for them”.

Haselswerdt said that Americans’ health and well-being will also take a hit. The rural hospital fund, around 25 billion dollars, will not be enough for the 50 states, he said.

“Nothing is permanent because politics can change, but we consider them permanent cuts – this kind of short -term financial dressing,” said Haselswerdt. “I don’t really think that makes so much difference. [When] People lose coverage, which means that these hospitals offer more free charitable care that is never paid.

“It was something that was demonstrated with the ACA. When the coverage extended under the ACA, it helped hospitals; they had less unpaid care to manage. So, if you change politics in such a way that more people appear in hospitals without health coverage, it will not be good for these hospitals.”

What the White House said about the impact on Medicaid

A “myth vs fact” sheet published by the White House on June 29 responds to many criticisms from The One Big Beautiful Bill, including on Medicaid.

The White House described it as “myth” that the legislation “launches the American families of Medicaid”.

“As the president said on several occasions, there will be no MEDICAID cuts,” the statement said. “The only major bill protects and strengthens Medicaid for those who rely on it – pregnant women, children, the elderly, disabled and low -income families – while eliminating waste, fraud and abuse.

“The only major bill withdraw illegal extraterrestrials, applies work requirements and protects Medicaid for real vulnerable.”