UPDATED JUNE 5, 2025
On May 21st, the US House of Representatives passed the budget reconciliation bill with deep Medicaid and SNAP cuts that will take health care and food away from millions of Americans.
The bill — sometimes called the “mega bill,” and labeled “one big beautiful bill” by the President — is now under consideration in the Senate. Senators are expected to make changes, vote on it, and send it back to the House for another vote.
Additional resources regarding the bill are available below.
Impact in Texas if Congress Passes the Medicaid Cuts and Fails to Extend ACA Enhanced Subsidies
- KFF analysis showing the House-passed bill would eliminate Medicaid health insurance for approximately 300,000 Texans (June 4).
- KFF analysis showing another 1.2 million Texans will lose ACA Marketplace health insurance if Congress lets the enhanced premium tax credits expire this year (May 20). Specifically, the analysis shows that 1.6 million Texans would lose health insurance due to the combination of 1) the mega-bill provisions passed by the House Energy and Commerce Committee (i.e., the Medicaid cuts and a portion of the Marketplace cuts), and 2) expiration of the enhanced tax credits. The analysis shows approximately 400,000 Texans would lose insurance due to the E&C Committee provisions.
Texans Care for Children statement on budget reconciliation bill that passed the House (May 22).
Press release from Texas groups warning against the Medicaid cuts (May 15).
Size and Nationwide Impact of Proposed Health Care Cuts
Georgetown University CCF blog explaining the new Congressional Budget Office (CBO) estimate (June 4). The estimate shows the mega-budget bill includes approximately $800 billion in cuts to CHIP and Medicaid. The CBO estimates those cuts and the ACA Marketplace cuts in the bill will increase the number of uninsured Americans by 10.9 million over the next decade. That does not include the impact of the bill failing to extend the enhanced Marketplace subsidies, which are scheduled to expire at the end of this year. Extending the enhanced subsidies would prevent 4.2 million people from becoming uninsured by 2034.
CBPP policy brief includes an overview of the Medicaid and ACA Marketplace cuts in the House bill (May 21).
CBPP policy brief with data on coverage loss estimates and the number of people whose costs would increase (May 21).
Information on Medicaid in Texas
Children’s Health Coverage Coalition (CHCC) one-pager on Medicaid in Texas (March 12).
Texans Care for Children blog with data on the number of Texans in Medicaid in each congressional district (May 9).
Impact of SNAP Cuts in Texas
Feeding Texas press release opposing the SNAP cuts in the bill (May 13).
Texans Care for Children statement showing 806,000 Texans would be at risk of losing some or all of their SNAP benefits, not including cuts through the cost shifting to states, according to CBPP estimates (May 22).
CBPP report on expanded SNAP work requirement with the number of people who would lose benefits by state and Congressional District, including the 806,000 figure cited above (May 13).
CBPP report on state cost-shift with estimates of cost by state (May 13).
Digital Action Centers
Email Congress to oppose stop SNAP cuts (via Feeding Texas)
Call Congress to oppose Medicaid and SNAP Cuts (via Texans Care for Children)
Email Congress to oppose Medicaid cuts (via Cover Texas Now)
