In the battle over how the One Big Beautiful Bill Act affects rural hospitals, Health and Human Services Secretary Robert F. Kennedy Jr. has touted a five-year $50 billion fund as “an infusion of cash” that will “restore and revitalize” rural communities. But his statements ignore the higher estimated Medicaid spending cuts to rural areas under the law.
Contrary to President Donald Trump’s claim that no one will die as a result of the Republican budget bill, an analysis from the University of Pennsylvania and Yale University estimated that the legislation’s changes to Medicaid and the Affordable Care Act will result in at least 42,500 preventable deaths each year. At the same time, independent Sen. Bernie Sanders has slightly overstated the estimate.
An attack ad by a super PAC called MAGA Kentucky targets Republican Rep. Thomas Massie — a longtime conservative foil of President Donald Trump — with claims that distort the congressman’s votes on some of Trump’s policy goals.
The Congressional Budget Office estimated that the House version of the One Big Beautiful Bill Act would reduce Medicaid enrollment and cause millions of people to become uninsured by 2034. It didn’t say that “5 million” of the people who are “going to lose insurance” would have “other insurance” so “they’re still insured,” as National Economic Council Director Kevin Hassett misleadingly claimed.
As the Republican budget bill, called the One Big Beautiful Bill Act, nears the July 4 deadline set by the White House, lawmakers have been ramping up the rhetoric. We referee the claims from both sides.
A viral graphic warns that if the House-passed reconciliation bill becomes law, “we won’t have another election.” But there is no evidence to support that or some of the graphic’s underlying claims about “what’s coming” if the Senate also approves the legislation without any changes. For other claims, it’s unclear what they are based on.
Republican and Democratic leaders have either downplayed or overstated the estimated impact of the House reconciliation bill on the Supplemental Nutrition Assistance Program, formerly known as food stamps. The Congressional Budget Office estimated that due to work requirements in the bill, 3.2 million people would lose all of their SNAP benefits, which provide financial help to low-income people for groceries.
Republicans say that able-bodied adults who don’t work would lose Medicaid coverage under the House tax-cuts-and-spending bill, while Democrats say the legislation would hurt vulnerable groups. The bill’s main target is those able-bodied adults, but other groups would lose coverage due to paperwork burdens and other provisions in the bill, health policy experts say.
A House-passed reconciliation bill would reduce federal funding to states that provide state-funded health insurance to people in the U.S. illegally, resulting in 1.4 million people losing coverage, according to a preliminary Congressional Budget Office analysis. But President Donald Trump and Republican lawmakers have wrongly cast the bill as removing these immigrants from Medicaid.