Trump’s ‘Big Beautiful Bill’ Would Leave Millions Without Health Insurance

Senate Republicans on Tuesday passed President Donald Trump’s sprawling tax and spending package, known as the “One Big Beautiful Bill,” paving the way for a major overhaul of the country’s Medicaid program. If passed by the House, which could happen before the July Fourth holiday, millions of people stand to lose their health insurance.

The number of people without health insurance in the United States nearly halved from 2013 to 2023, falling from around 14 percent to a record low of less than 8 percent, largely driven by coverage expansion under the Affordable Care Act. That rate has held relatively steady over the past few years, with around 26 million

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