Greg Murphy: The One Big Beautiful Bill Enacted The Largest Cuts To Medicaid In History, Slashing Local Hospital Revenue, And Was Projected To Kick More Than 528,000 People In North Carolina 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 More Than 528,000 People In North Carolina Off Their Health Insurance

September 2025: The Joint Economic Committee Minority Estimated More Than 528,000 People In North Carolina 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]

North Carolina: Health Insurance Losses From Cuts To Medicaid And The Affordable Care Act Under The One Big Beautiful Bill

Est. Number of People Losing Affordable Care Act Coverage

Est. Number of People Losing Medicaid Coverage

Est. Total Number of People Losing Insurance

252,300

275,878

528,178

[Joint Economic Committee Minority, Press Release, accessed 7/15/25]

The One Big Beautiful Bill Was Projected To Cut Nearly $728 Million In Revenue To Hospitals In North Carolina

Under The One Big Beautiful Bill, Hospitals In North Carolina Were Projected To Lose Nearly $728 Million As A Result Of Medicaid Cuts. [Third Way, GOP Medicaid Cuts Will Decimate Hospitals Nationwide, 7/8/25]

Image: see original report, p. 18

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

Source report (PDF)