![Congressional Budget Office report reveals nearly 12 million could lose health insurance under Trump’s sweeping budget bill, which includes $1.1 trillion in cuts to Medicaid, Medicare, and ACA programs. [ Image by Le Monde]](https://www.thepostnews.net/wp-content/uploads/2025/06/325d7b5_sirius-fs-upload-1-avfzouabuph0-1748075788439-416734.jpg)
Congressional Budget Office report reveals nearly 12 million could lose health insurance under Trump’s sweeping budget bill, which includes $1.1 trillion in cuts to Medicaid, Medicare, and ACA programs. [ Image by Le Monde]
(The Post News)- A politically contentious budget bill measure backed by President Donald Trump and Senate Republicans would cut health insurance coverage for nearly 12 million Americans over the next decade, a new report from the Congressional Budget Office (CBO) published Saturday night said.
Trump’s budget: Nearly 12 million estimated to lose health coverage, says CBO – BBC News
The bill, formally the One Big Beautiful Bill Act, barely passed a Senate procedural vote on a 51-49 basis. It includes over $1.1 trillion in cuts to Medicaid, Medicare, and the Affordable Care Act (ACA)—the largest reversal of federal healthcare ever in U.S. history.
The CBO report estimates that 11.8 million will lose health coverage by 2034 if the bill is enacted. At the heart of those losses are $1 trillion in cuts to Medicaid, including:
- New tight work requirements on adult Medicaid beneficiaries
- Reduced federal payments for Medicaid expansion
- New co-payments for Medicaid care
- Caps on state provider taxes directed toward Medicaid
“These reductions would devastate rural hospitals, seniors, and working families,” countered Aaron Carroll, CEO of a leading health policy think tank. “It’s not policy—it’s personal to millions.”
While budget conservatives embrace the bill’s steep spending reductions, Republicans have voiced concern about the implications.
Senator Thom Tillis, a bill opponent who also announced he will not seek re-election, said the cuts to Medicaid are “too extreme” and would cost his state billions. Senator Josh Hawley, who cast the vote to bring the bill to the floor, admitted the cuts were “bad” but that he would vote for the bill anyway.
A $25 billion rural hospital fund was added in a last-minute amendment to placate rural lawmakers’ concerns.
Senate Democrats opposed the bill unanimously, foretelling it will raise levels of the uninsured, erect obstacles to access to healthcare, and lead to deep inequality.
“This is tax cuts for millionaires funded by cutting healthcare for the poor,” said Senator Mark Warner.
The Tax Policy Center estimates that over 80% of Americans would experience tax cuts under the bill—even though high-income families would be the largest beneficiaries, absolutely and relatively.
Senate Parliamentarian has found several healthcare provisions are in violation of chamber rules, including:
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