Read the bill. It doesn't cut anyone off.
Does the 'Big Beautiful Bill' cut off people from Medicaid Copilot AI
Yes, it does — and the scale is significant. The
One Big Beautiful Bill Act, recently signed into law, includes sweeping changes to Medicaid that could result in
millions of Americans losing coverage over the next decade.
Here’s how it affects Medicaid:
Work Requirements
Most adults under 65 must now work, train, or volunteer
at least 80 hours per month to maintain coverage. This change alone is projected to push
4.8 million people off Medicaid.
More Frequent Eligibility Checks
States must now verify eligibility
twice a year instead of annually, increasing the risk of people losing coverage due to paperwork issues.
State Funding Restrictions
The bill limits how states can finance Medicaid, especially through provider taxes. This could lead to
$340 billion in cuts, forcing states to reduce enrollment or services.
Higher Copayments
Some patients may face
up to $35 per doctor visit, creating new barriers to care.
Overall Impact
The Congressional Budget Office estimates that
11.8 million people will lose health insurance by 2034, with Medicaid cuts being the primary driver.
Critics argue this is the largest rollback of health coverage in U.S. history, while supporters claim it targets “waste, fraud, and abuse” and restores the “dignity of work.” Either way, the ripple effects — especially for low-income families, seniors, and people with disabilities — are expected to be profound.