Explainer

How Medicaid Cuts Will Cost Some 12 Million People Health Coverage

A sign in support of Medicaid during a protest against a Republican budget plan at the US Capitol in Washington, DC, on April 27.Photographer: Bryan Dozier/AFP/Getty Images

Republicans in Congress finally settled on a massive legislative package aimed at realizing President Donald Trump’s domestic agenda, and it won’t come cheap. The bill the Senate and House of Representatives approved in July for Trump to sign into law cuts taxes by some $4.5 trillion over a decade and adds hundreds of billions of dollars in new spending for defense, border wall construction, immigrant detention centers and other administration priorities.

To help offset the impact on the federal deficit, Republicans included major spending cuts in the bill, too. The centerpiece of the cost savings is a cut of nearly $1 trillionBloomberg Terminal over ten years to Medicaid, the public health insurance program for low-income and disabled people.