The “One Huge, Stunning Invoice Act” that Republicans are making an attempt to ram by means of Congress is being billed as President Donald Trump’s tax and immigration invoice, extending the 2017 tax cuts that overwhelmingly favor the wealthy whereas funding Trump’s evil immigration crackdown.
However in actuality, the dogshit laws is only a backdoor means for Trump and the GOP to repeal the Inexpensive Care Act, President Barack Obama’s signature legislative achievement that has helped tens of thousands and thousands of Individuals get medical health insurance or Medicaid protection.
“They’re not calling this ACA repeal and change, however the protection losses can be amongst most of the identical individuals who would have misplaced their insurance coverage beneath ACA repeal,” Larry Levitt, KFF govt vice chairman for well being coverage, advised the Washington Put up.
If it passes, the “One Huge, Stunning Invoice Act” would pressure almost 14 million folks to lose their insurance coverage protection so the GOP might—partially—offset the price of tax cuts for the wealthy, which it will do in a number of methods.
First, the invoice primarily scales again the ACA’s Medicaid growth by limiting the quantity that states can get reimbursed, leaving states to seek out thousands and thousands in funding to cowl these prices or cut back who is roofed. Teams just like the American Hospital Affiliation strongly oppose the invoice, as modifications to Medicaid’s reimbursement might result in hospital closures, particularly in rural areas that supported Trump in 2024.
“The Medicaid legislative proposals severely prohibit the usage of authentic state funding assets and supplemental fee packages, together with supplier taxes and state directed funds, beneath the guise of eliminating waste, fraud and abuse. We reject this notion as these vital, authentic and well-established Medicaid financing packages are important to offset many years of continual underpayments of the price of care supplied to Medicaid sufferers,” AHA President and CEO Rick Pollack stated in an announcement.
“These new insurance policies are estimated to decimate federal help for the Medicaid program by greater than $700 billion over 10 years and can displace well being care protection for thousands and thousands of Individuals, transferring them from insured to uninsured standing,” he added.
Republicans are additionally making an attempt to impose work necessities on Medicaid recipients, which specialists say will pressure eligible folks to lose their Medicaid as a result of onerous paperwork points.
In the meantime, Republicans are additionally refusing to increase an growth of subsidies that congressional Democrats handed of their first COVID-19 aid invoice in 2021, which helped thousands and thousands of individuals afford insurance coverage. With out an extension, prices will enhance for thousands and thousands of Individuals, finally inflicting 5 million folks to lose their insurance coverage
However this might spell political doom for Republicans within the 2026 midterms.
An April ballot from Navigator Analysis reveals that the Obamacare subsidies are overwhelmingly fashionable, with 79% of individuals in help. And a March Civiqs ballot for Each day Kos discovered that 63% of registered voters oppose slicing packages like Medicaid and meals stamps.
Democrats, for his or her half, plan to make this a spotlight within the 2026 midterms, with Senate Democrats drawing consideration to the invoice’s well being care cuts to gin up public backlash.
Equally, Shield Our Care, a gaggle looking for to increase well being care entry, is already operating adverts in 11 GOP-held Home districts attacking Republicans who voted for the “One Huge, Stunning Invoice Act.”
“By slashing well being care, Republicans dared to the touch the third rail of American politics,” Shield Our Care President Brad Woodhouse stated in a information launch.
“Republicans know the way indefensible their tax invoice is: that’s why they held hearings at midnight and wrote the invoice behind closed doorways. We’re ensuring the American folks know the dire penalties of what their elected officers voted for and, undoubtedly, Republicans pays a heavy value for placing billionaires forward of their constituents’ well being,” he continued.
Historical past reveals that this may be extraordinarily potent for Democrats in 2026. Keep in mind, well being care was the problem that helped win again the Home in 2018 when Democrats ran adverts attacking GOP lawmakers for voting to repeal Obamacare, main dozens of Republicans to lose their seats. And now they’re hoping that historical past will repeat itself.
“Their whole agenda may be boiled right down to this: billionaires win and households lose,” Senate Minority Chief Chuck Schumer wrote in a letter to Senate Democrats on June 1. “Billionaires win and households lose when Republicans kick thousands and thousands of Individuals off their medical health insurance by dismantling the ACA and proposing the biggest minimize to Medicaid in American historical past.”
