The One Big Beautiful Bill Act (OBBBA), President Trump’s Tax and Spend mega bill, recently passed Congress. It will strip billions of dollars from essential health programs while paying for billions of dollars in tax cuts for the rich, expand mass deportation programs, and continue to harm reproductive justice. Madeline Morcelle, Senior Attorney at the National Health Law Program, sits down to talk with us about OBBBA and how it’s going to particularly impact Medicaid. 

Medicaid, the largest public health insurance program for people in the United States, including those of low incomes, currently provides coverage for over 71 million people. Medicaid is a critical line for people to access sexual and reproductive health care. OBBBA ushers in the most sweeping Medicaid cuts in U.S. history—specifically, $990 billion dollars in Medicaid cuts over the next decade and ending health insurance coverage for over 10 million people. Among other cuts, OBBBA imposes mandatory, nationwide work requirements on Medicaid expansion and partial expansion beneficiaries aged 19-64.

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