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American Focus > Blog > Health and Wellness > What’s in Trump’s tax-cut bill: Medicaid cuts, rural health fund, ACA
Health and Wellness

What’s in Trump’s tax-cut bill: Medicaid cuts, rural health fund, ACA

Last updated: July 2, 2025 10:02 am
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What’s in Trump’s tax-cut bill: Medicaid cuts, rural health fund, ACA
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Senate Republicans passed President Trump’s landmark tax bill on Tuesday morning, marking a significant step towards the enactment of transformative health provisions. The bill includes cuts to health care spending totaling over $1 trillion over the span of a decade, impacting patients, hospitals, and doctors nationwide. These cuts will pose challenges for states as they navigate how to balance their budgets in the face of reduced federal funding.

The bill is projected to result in nearly 12 million more people losing their health insurance coverage, reversing a significant portion of the progress made in expanding coverage since the passage of the Affordable Care Act 15 years ago.

The implications of these health care cuts are far-reaching, with patients facing potential barriers to accessing necessary medical care, hospitals grappling with reduced resources, and doctors navigating changes to reimbursement rates and patient populations. States will be forced to reassess their health care systems and make difficult decisions about how to provide care to their residents in light of decreased federal support.

The passage of the tax bill has sparked debate and concern among policymakers, health care professionals, and advocacy groups. Critics argue that the cuts to health care spending will disproportionately impact vulnerable populations and worsen health outcomes across the country. Proponents of the bill, however, argue that it is necessary to reduce government spending and promote fiscal responsibility.

As the bill moves forward, stakeholders will continue to monitor its impact on the health care system and work to mitigate any negative consequences for patients and providers. The intersection of tax policy and health care will remain a key issue in the national dialogue, shaping the future of the American health care landscape.

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