Medicaid

Medicaid Expansion Funding Cuts Take Effect, Threatening 1.3 Million

| Importance: 8/10

Changes from Trump’s “One Big Beautiful Bill” took effect, ending special federal financial incentives for the 40 states that expanded Medicaid under the ACA. The Congressional Budget Office projected these cuts would leave 1.3 million more Americans uninsured in 2026, primarily …

Donald Trump Congressional Republicans medicaid healthcare affordable-care-act budget-cuts
Read more →

Senate Passes $4.5 Trillion Tax Cuts with $1 Trillion Medicaid Cuts, 12 Million to Lose Insurance

| Importance: 9/10

After a record-breaking vote-a-rama with the most amendment votes in Senate history, the Senate passed Trump’s “One Big Beautiful Bill” 51-50 with Vice President Vance casting the tie-breaking vote.

The Congressional Budget Office confirmed the bill cuts over $1 trillion from …

Senate J.D. Vance Ron Wyden Congressional Budget Office tax-cuts medicaid healthcare wealth-transfer reconciliation
Read more →

Supreme Court Makes ACA Medicaid Expansion Optional, Enabling State Obstruction

| Importance: 9/10

The U.S. Supreme Court ruled 7-2 in National Federation of Independent Business v. Sebelius that the Affordable Care Act’s mandatory Medicaid expansion was unconstitutionally coercive, making it optional for states. While Chief Justice John Roberts upheld the individual mandate as a valid …

U.S. Supreme Court Chief Justice John Roberts National Federation of Independent Business Republican Governors Republican State Attorneys General healthcare aca-sabotage supreme-court medicaid partisan-obstruction +2 more
Read more →