House Narrowly Passes Trump Health Bill Slashing $930 B Medicaid Funds

The U.S. House of Representatives on Thursday approved President Donald Trump’s signature “Big Beautiful Bill,” a sweeping health-care overhaul that cleared the chamber by a narrow 218–214 margin. The legislation, which its proponents call a cost-saving measure, would reduce federal spending by trimming roughly $930 billion from Medicaid over the next decade, according to a Congressional Budget Office analysis circulated by Democratic lawmakers. The CBO projects that the changes, combined with the elimination of Affordable Care Act subsidies and other provisions, would leave about 17 million Americans without health insurance by 2034. Rural providers are among the first to feel the strain: Community Hospital in Curtis, Nebraska cited “anticipated federal budget cuts to Medicaid” in announcing its closure. A University of North Carolina study commissioned by Senate Democrats warns that 338 rural hospitals could face a similar fate. Large urban systems are also responding. UC San Diego Health plans to lay off 230 employees, while Sharp Healthcare, the county’s biggest provider, will cut 315 positions and implement executive pay reductions. Hospital executives say lower Medicaid reimbursement rates are already tightening margins, foreshadowing wider service reductions if the bill becomes law.