Laurie Buckhout: The One Big Beautiful Bill Enacted The Largest Cuts To Medicaid In History, Including A Projected $50 Billon Loss In North Carolina, Slashed Local Hospital Revenue, And Would Kick Nearly 42,000 People In NC-01 Off Their Health Insurance

The One Big Beautiful Bill Made The Largest Cuts To Medicaid In The Program’s History

The Hill: Republicans Passed “The Largest Cuts To Medicaid Since The Program Began In The 1960s.” “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade. The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill, 7/1/25]

• The Hill: The Republicans’ Reconciliation Bill Made About $1 Trillion In Cuts To Medicaid. “Senate Republicans on Tuesday passed the largest cuts to Medicaid since the program began in the 1960s, a move that would erode the social safety net and cause a spike in the number of uninsured Americans over the next decade. The tax and spending bill is projected to cost more than $3 trillion during that time, but it would be partially paid for with about $1 trillion in cuts to Medicaid. Almost 12 million lower-income Americans would lose their health insurance by 2034, according to the Congressional Budget Office (CBO).” [The Hill, 7/1/25]

The One Big Beautiful Bill Would Take Health Insurance Away From More Than 14 Million People

KFF: “CBO Estimates Show That The Number Of Uninsured People Will Increase By More Than 14 Million In 2034.” [KFF, 8/20/25]

HEADLINE: “Congress Officially Passes Trump’s Bill To Kick Millions Off Medicaid.” [Rolling Stone, 7/3/25]

The One Big Beautiful Bill Was Estimated To Kick Nearly 42,000 People In NC-01 Off Their Health Insurance

September 2025: The Joint Economic Committee Minority Estimated 41,781 People In North Carolina’s 1st Congressional District Would Lose Health Insurance By 2034 Due To Congressional Republicans’ Cuts To Medicaid And The ACA. “According to the nonpartisan Congressional Budget Office (CBO)’s most recent analysis, President Trump and Congressional Republicans’ cuts to Medicaid and the Affordable Care Act (ACA) would result in 16 million people losing their health insurance by 2034. Using CBO’s analysis released June 4 and other research, the Joint Economic Committee – Minority calculated new estimates of the number of people who would lose health insurance.” [Joint Economic Committee Minority, Press Release, September 2025]

[Joint Economic Committee Minority, Press Release, September 2025]

NC Department Of Health And Human Services: North Carolina Would Lose $50 Billion Over Ten Years From The Big Beautiful Bill

NCDHHS: North Carolina Was Projected To Lose $50 Billion In Medicaid Funding, Which Would Disproportionately Affect Rural North Carolinians. “The North Carolina Department of Health and Human Services announced today it will begin preparing to submit its application to receive funding from the Rural Health Transformation Program (RHTP). The program is part of H.R. 1, a federal bill signed into law by President Trump in July to address rural health concerns due to federal cuts to the Medicaid program. NCDHHS has created a website with a link for providers to give feedback now on what should be considered for North Carolina’s application and will host several opportunities for partner organizations to provide input for the state’s RHTP application in the coming months. The Medicaid program will see cuts resulting in approximately $1 trillion in losses nationwide in the next 10 years due to H.R. 1, including $49.9 billion in North Carolina, and these cuts will disproportionately impact people who live in rural communities. NCDHHS works to create a healthier state for everyone who calls this state home, including the more than 3 million people in rural North Carolina.” [NCDHHS, 8/14/25]

The One Big Beautiful Bill Was Projected To Cut Nearly $30 Million In Revenue To Hospitals In NC-01

Under The One Big Beautiful Bill, Hospitals In NC-01 Were Projected To Lose $28,351,907 As A Result Of Medicaid Cuts. [Third Way, GOP Medicaid Cuts Will Decimate Hospitals Nationwide, 7/8/25]

[Third Way, GOP Medicaid Cuts Will Decimate Hospitals Nationwide, 7/8/25]