Under Trump's 'big, beautiful' bill, over 10 million more Americans projected to lose insurance
US President Donald Trump's much-touted 'big, beautiful' bill, passed by the House last month and now in the Senate, would result in 10.9 million people losing health insurance, primarily Medicaid. The Congressional Budget Office (CBO) projects that President Donald Trump's major legislative proposal would result in 10.9 million more people lacking health insurance, including 1.4 million undocumented individuals currently covered by state-funded programs. According to the budget office, the plan would also reduce federal spending by $1.3 trillion over the same period, reports news agency AP. The bill is expected to reduce taxes by $3.75 trillion while adding $2.4 trillion to the federal deficit over the next ten years, the analysis says.
Moreover, President's One Big Beautiful Bill will add $2.4 trillion to the U.S. federal debt pile, according to CBO. This figure is the CBO's estimated net effect of the House bill on the deficit for 2025 to 2034, according to an analysis published Wednesday.
'Republicans cry crocodile tears over the debt when Democrats are in charge — but explode it when they're in power,' said Rep. Brendan Boyle of Pennsylvania, the top Democrat on the House Budget Committee.
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'In the words of Elon Musk,' Boyle said, reviving the billionaire and former Trump aide's criticism of the package, 'this bill is a 'disgusting abomination.''
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White House Press Secretary Karoline Leavitt said CBO has been 'historically wrong' and Senate Majority Leader John Thune said the CBO was 'flat wrong' because it underestimated the potential revenue from Trump's first round of tax breaks in 2017. The CBO last year said receipts were $1.5 trillion or 5.6% greater than predicted, in large part because of the 'burst of inflation' during the COVID-19 pandemic in 2021.
Trump's big beautiful bill
Republicans have also sounded an alarm over the sprawling bill due to its impact on federal debt. The bill is the centerpiece of Trump's domestic agenda, and includes wide-ranging tax cuts, and extra money for the military and border security.
Senator Rand Paul, a libertarian-leaning Republican from Kentucky, said he and four other GOP senators oppose the current version of the bill because it would significantly increase the national debt.
'I support making the tax cuts permanent, but the $5 trillion in new debt must be eliminated from the bill,' Paul wrote on X, formerly known as Twitter.
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Paul added that he could back the legislation if it excluded a provision to raise the debt ceiling, which caps how much the federal government can borrow.
Meanwhile, Trump and his allies contend that the Congressional Budget Office's projections fail to account for the broader economic benefits of the tax cuts. They argue that the resulting economic growth will reduce the deficit over time, not expand it.
They say the bill actually cuts federal spending by around $1.6 trillion.
"Of course, honestly accounted, extending current tax rates has zero deficit impact which is why the bill, because of its spending cuts, reduces the deficit," said Stephen Miller, a White House deputy chief of staff, in a post on X.
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What Barrack Obama said on Republican bill
Meanwhile, Barack Obama has warned that Congress is putting millions of Americans at risk of losing healthcare coverage due to Trump's tax-cut bill. 'Congressional Republicans are trying to weaken the Affordable Care Act and put millions of people at risk of losing their health care,' Obama posted on social media. 'Call your Senators and tell them we can't let that happen.'
About 7.6 million people would lose Medicaid coverage and 3.1 million would lose marketplace insurance plans, according to estimates from the CBO. The changes would cut more than $800bn over 10 years to help fund the tax cuts.
Republicans insist they are targeting fraud and waste, though fraud detection units would receive no new funding under the bill. Trump told NBC: 'They're looking at fraud, waste and abuse. And nobody minds that.'
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