
Trump's 2025 "Beautiful Bill" Projected to Strip Millions of Health Coverage
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The "One Big Beautiful Bill Act" (OBBBA), championed by former President Donald Trump, was signed into law on July 4, 2025, following its passage by the US Congress. This comprehensive legislation is projected by the Congressional Budget Office (CBO) to cause millions of Americans to lose health insurance coverage, primarily due to significant cuts to Medicaid and changes impacting ACA marketplaces. The bill also includes tax cuts and increased spending for defense, signaling a policy shift towards fiscal conservatism with profound socioeconomic implications.
The "One Big Beautiful Bill Act" (OBBBA): Overview and Passage
- Championed by former President Donald Trump, the bill was signed into law on July 4, 2025.
- It passed the House on May 22, 2025, and the Senate on July 1, 2025, with the House agreeing to the Senate's amended version on July 3.
- Referred to in some circles as "大美丽法案" (Da Mei Li Fa An).
Projected Millions Losing Health Insurance
- The Congressional Budget Office (CBO) estimates 11.8 million people could lose health insurance coverage over the next 10 years.
- When combined with other policy changes, the total number of uninsured could increase by approximately 17 million.
- Some analyses suggest up to 20-29 million could lose coverage under certain conditions.
Policy Changes Driving Healthcare Coverage Loss
- Significant cuts to Medicaid, estimated at $1 trillion over 10 years.
- Changes to Affordable Care Act (ACA) Marketplaces, including the potential expiration of enhanced premium tax credits.
- Introduction of new eligibility requirements like work requirements and more frequent checks for Medicaid enrollees.
- Restrictions placed on the Children's Health Insurance Program (CHIP), delaying easier sign-up processes.
Broader Legislative Scope and Socioeconomic Impact
- Includes permanent extensions of tax cuts enacted in 2017.
- Features increased spending for defense and the deportation of undocumented immigrants.
- Enacts cuts to other social safety net programs like the Supplemental Nutrition Assistance Program (SNAP).
- Prioritizes fiscal conservatism over broad access to healthcare, potentially widening health disparities.