The Congressional Budget Office (CBO) estimates the Senate GOP tax bill would cause 11.8 million Americans to lose health coverage by 2034, with $1.1 trillion in cuts to Medicaid, Medicare and the Affordable Care Act. Fueled by plans to extend President Donald Trump’s 2017 tax cuts, the bill provides $4.5 trillion in new reductions, offset by Medicaid and safety net spending cuts.
The bill cuts Medicaid by about 18%, SNAP by roughly 20%, imposes 80-hour work requirements, and introduces up to 5% income-based cost-sharing fees.
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Many low-income Americans face delayed care and rural hospitals risk closure due to increased out-of-pocket costs and ongoing funding cuts, worsening health access and outcomes.
The tax bill would add $3.3 trillion to the deficit over a decade and increase borrowing by $21 trillion, signaling fiscal risks according to CBO estimates.
