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🔥 Featured Report — April 14, 2026
🏥Health Verified9 min read read · 6 sources
Medicaid Cuts Are Now Law: What the 'One Big Beautiful Bill' Actually Does to Your Health Coverage
On July 4, 2025, President Trump signed the 'One Big Beautiful Bill' into law. The CBO estimates it will cut $911 billion from Medicaid over 10 years and leave 7.5 million more Americans without health insurance by 2034. Here is exactly what changed, who loses coverage, and what you can do — verified with primary sources.
Verified Key Facts
- 1$911 billion cut from Medicaid over 10 years — signed into law July 4, 2025 (CBO, Public Law 119-21)
- 27.5 million more Americans uninsured by 2034 from Medicaid cuts alone (CBO, October 2025)
- 3Work requirements ($326B in cuts) take effect January 1, 2027 — 80 hrs/month required
- 4CBO: work requirements 'would not have any meaningful impact on the number of Medicaid enrollees working'
- 5In Arkansas, 18,000 people lost coverage under work requirements — mostly due to paperwork problems, not refusal to work
- 676% of cuts ($694 billion) hit in 2030–2034 — the law is backloaded
- 7Louisiana, Illinois, Nevada, and Oregon face the highest percentage cuts (19%+ of their federal Medicaid baseline)
- 8California (1.6M), New York (860K), Florida (590K) face the largest raw numbers of coverage losses
- 920 states + D.C. will see uninsured rates rise by 3+ percentage points from this law alone (KFF)
📎 Sources
CBO — Estimated Budgetary Effects of Public Law 119-21 (July 21, 2025)CBO — Medicaid Supplemental Cost Estimate, Public Law 119-21 (October 28, 2025)KFF — Health Provisions in the 2025 Federal Budget Reconciliation LawKFF — How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State? (August 20, 2025)KFF — Allocating CBO's Estimates of Federal Medicaid Spending Reductions Across the States (July 23, 2025)KFF — A Closer Look at the Work Requirement Provisions in the 2025 Reconciliation Law (July 30, 2025)