Trump's "Big, Beautiful" has $1.1 trillion in health cuts and 11.8 million losing care

The Senate Republicans’ fast-tracked tax and spending bill would lead to deeper cuts to health care and leave more Americans uninsured than the House-passed version, according to a new analysis by the Congressional Budget Office (CBO).

CBO projects the legislation would cause 11.8 million people to lose health coverage by 2034 — nearly 1 million more than under the House version. Among those affected are an estimated 1.4 million individuals without “verified citizenship, nationality, or satisfactory immigration status” who would lose state-funded insurance.

The bill would slash federal spending on Medicaid, Medicare, and the Affordable Care Act by a total of $1.1 trillion — with over $1 trillion in reductions coming solely from Medicaid.

This analysis confirms that despite President Trump’s repeated claims that he would only target “waste, fraud, and abuse” in Medicaid, the Senate bill proposes sweeping and unprecedented cuts to a program that currently covers more than 70 million low-income Americans.

The savings would come from several provisions, but the biggest reductions stem from a new national work requirement and tighter limits on how states can tax health care providers.

For the first time in Medicaid’s history, the bill would require most beneficiaries to verify they are working or in school at least 80 hours per month in order to maintain coverage. The Senate version expands this mandate to include low-income parents with children older than 14, in addition to nondisabled adults without children. These work requirements are expected to save $325 billion over 10 years.

Another major source of cuts is the proposed overhaul of provider taxes. In the House bill, this was the second-largest Medicaid savings provision — and the Senate version goes even further. The CBO estimates the provider tax changes would reduce federal spending by nearly $191 billion over a decade.