As Medicaid turns 60, the U.S. faces the largest federal health care subsidy rollback in its history.
The One Big Beautiful Act, signed by President Trump last July 4, slashes federal Medicaid spending by 15%. Over the next decade, it will eliminate over $1 trillion from federal health care and food aid, largely by imposing work verification requirements on recipients and shifting cost burdens onto states.
Massive Coverage Losses Projected
The Congressional Budget Office estimates the law will leave 11.8 million Americans uninsured by 2034, with another 5.1 million losing coverage due to other changes — including the expiration of Affordable Care Act (ACA) premium tax credits at the end of this year.