UPDATED July 2, 2025
On July 1st, the US Senate passed the budget reconciliation bill with deep Medicaid and SNAP cuts that will take health care and food away from millions of Americans. The House previously passed the bill on May 21st.
The bill — sometimes called the “mega bill,” and labeled “one big beautiful bill” by the President — is now back in the House for a final vote.
Additional resources regarding the bill are available below.
Letter from 110 Texas Groups Urging the House to Vote No
- Letter to the Texas delegation in the US House (sent July 2nd)
Impact in Texas if Congress Passes the Medicaid Cuts and Fails to Extend ACA Enhanced Subsidies
- KFF analysis estimating the loss of health insurance in Texas under the bill passed by the House (published June 6). It estimates:
- 200,000 Texans would become uninsured due to the Medicaid cuts and restrictions.
- 560,000 Texans would become uninsured due to the ACA Marketplace cuts and restrictions.
- A total of 1.9 million Texans would become uninsured if those cuts pass and Congress fails to extend the ACA enhanced premium tax credits that are expiring this year.
Texans Care for Children statement on budget reconciliation bill that passed the House (published May 22).
Press release from Texas groups warning against the Medicaid cuts (published May 15).
Size and Nationwide Impact of Proposed Health Care Cuts
Georgetown University CCF blog explaining the new Congressional Budget Office (CBO) estimate (published 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 (published May 21).
CBPP policy brief with data on coverage loss estimates and the number of people whose costs would increase (published May 21).
Information on Medicaid in Texas
Children’s Health Coverage Coalition (CHCC) one-pager on Medicaid in Texas (published March 12).
Texans Care for Children blog with data on the number of Texans in Medicaid in each congressional district (published May 9).
Impact of SNAP Cuts in Texas
Feeding Texas press release opposing the SNAP cuts in the bill (published 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 (published 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 (published May 13).
CBPP report on state cost-shift with estimates of cost by state (published May 13).
Digital Action Centers
- Guidance for calling Congress, emailing Congress, and posting on social media to oppose Medicaid cuts – click on each icon in the document for details (via American Cancer Society – Cancer Action Network)
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)
