H.R. 1 — the “One Big Beautiful Bill” Act
Passed by Republicans in July 2025, H.R. 1 carries roughly $1 trillion in Medicaid cuts and raises health-care costs for millions of working families — hitting rural hospitals, nursing homes, ACA coverage, and Medicare. Its $4.3 trillion addition to the deficit sets up an estimated $490 billion Medicare cut over the next decade. The full impact was deliberately delayed until after the 2026 midterms.
- —Higher health-care costs for millions of working families
- —A $4.3 trillion increase to the federal deficit
- —An estimated $490 billion cut to Medicare
