In short, the House Republican budget cuts vital healthcare access for 13.7 million Americans, slashes $300 billion in SNAP benefits, and eliminates $73 billion in Medicaid provider payments, potentially jeopardizing healthcare access and impacting hospitals’ ability to operate. Further, the bill defunds Planned Parenthood, bans abortion coverage in Affordable Care Act exchange plans, and rescinds numerous environmental protections, including clean energy tax credits and funding for pollution reduction initiatives. These cuts will disproportionately harm low-income families and exacerbate existing inequalities.
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Senate Republicans, led by Senators Johnson and Paul, express concerns over the House-passed domestic spending bill’s projected $2.3 trillion deficit increase over ten years, advocating for deeper spending cuts. While President Trump anticipates Senate revisions, several senators, including Hawley, criticize insufficient spending reductions and potential Medicaid cuts affecting millions. House Speaker Johnson defends the bill, framing Medicaid impacts as targeting fraud and abuse, a claim disputed by Democrats who highlight potential healthcare losses for low-income individuals. The bill’s future hinges on Senate amendments and subsequent House approval before reaching the President’s desk.
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The House passed a bill containing significant Medicaid cuts, justified by Representative Mike Johnson as addressing fraud and promoting work among able-bodied recipients. However, analyses project millions will lose coverage, contradicting claims that the bill doesn’t cut Medicaid or SNAP. The legislation also includes substantial tax cuts for the wealthy and imposes new work requirements despite the vast majority of Medicaid recipients already working or being exempt. Opposition to the bill exists within the Senate GOP caucus, raising the possibility of its failure.
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Representative Derrick Van Orden (R-Wis.) asserts that the Republican tax bill does not cut federal health or food benefits, despite projected cuts of $1 trillion from related programs. This assertion contradicts analyses showing millions would lose health insurance and food assistance, including thousands in Van Orden’s own district. The bill, if enacted, would drastically reduce funding for Medicaid and SNAP, impacting millions of low-income Americans. Van Orden’s claims are refuted by independent analyses from organizations such as the Urban Institute and the Congressional Budget Office.
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Representative Derrick Van Orden (R-Wis.) asserts that the Republican tax bill, despite cutting $1 trillion from Medicaid and food assistance programs, will not reduce individual benefits. He claims this is due to the bill’s timing, allowing for transparency. However, analyses indicate the bill would negatively impact millions, including thousands in his own district, by eliminating health insurance for an estimated 8 million and food assistance for 1.5 million families. This directly contradicts Van Orden’s statements.
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Speaker Emerita Pelosi vehemently opposed the Republican bill proposing $700 billion in Medicaid cuts, denouncing it as a harmful measure targeting vulnerable populations. This legislation, she argued, would deprive millions of healthcare access to fund tax cuts for the wealthy and increase the national debt. Pelosi characterized the bill as a “Reverse Robin Hood” scheme inflicting devastating consequences on communities nationwide. Her full remarks are available for review.
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The House passed a Republican budget reconciliation bill that cuts Medicaid for nearly 14 million Americans and slashes food assistance by nearly $300 billion, despite earlier pledges from twelve GOP representatives to oppose such cuts. This bill expands Section 199A, increasing the pass-through deduction for business income, which would financially benefit six of those same representatives. Accountable.US analysis suggests these six lawmakers, who represent districts with significant Medicaid reliance, voted for the bill despite previously stating their opposition to Medicaid cuts. The resulting tax break would benefit these lawmakers by thousands of dollars annually, while their constituents face healthcare losses.
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Following its House passage, President Trump’s “big, beautiful bill” faces potential roadblocks in the Senate. Republican senators have expressed concerns regarding increased deficits, the SALT cap, and potential Medicaid cuts. Key senators, including Ron Johnson, Rand Paul, Susan Collins, and Lisa Murkowski, voiced specific objections. Senate Majority Leader Thune acknowledged these concerns, indicating ongoing negotiations and a need to secure 51 votes for passage.
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The House of Representatives passed the “One Big Beautiful Bill Act,” extending Trump-era tax cuts, despite significant budgetary and social consequences. The legislation, rushed through Congress with minimal transparency, would increase the deficit by $3.8 trillion, slash funding for programs like SNAP and Medicaid, and disproportionately benefit the wealthy while harming the poor. The Congressional Budget Office estimates millions could lose health insurance, and household resources would decrease by 4% for the poorest while increasing by 4% for the richest. This process involved obfuscation and misleading statements from Republican leadership, who downplayed the bill’s negative impacts.
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John Q. Hosedrinker