One Big Beautiful Bill FAQ

There has been a lot of confusion surrounding the Medicaid and tax provisions in the One Big Beautiful Bill, and I want to set the record straight. Despite the misinformation out there, this legislation does not strip essential healthcare coverage—it strengthens accountability, efficiency, and access while ensuring that taxpayer dollars are spent wisely and effectively.

To provide clarity, we’ve compiled a Frequently Asked Questions section that addresses the most common concerns and presents the facts in a straightforward manner. It’s essential that everyone has access to accurate information to understand what is at stake and how this legislation affects our community.

QUESTION: Did Congress really cut $1 trillion from Medicaid?  
ANSWER: No. The bill does not cut Medicaid funding. Instead, it protects and strengthens the Medicaid program for those who rely on it—pregnant mothers, children, seniors, people with disabilities, and low-income families—while eliminating waste, fraud, and abuse.
 
QUESTION: Did the Reconciliation bill cut aid to pregnant mothers, children, seniors, and people with disabilities?
ANSWER: Absolutely not. The bill strengthens and secures Medicaid for those who need it most: pregnant mothers, children, people with disabilities, and elderly Americans. There are no cuts to Medicaid. In fact, the bill ensures the longevity of the Medicaid program by removing ineligible recipients, illegal immigrants, and able-bodied adults without dependents who choose not to work, volunteer, or attend school. This keeps the system strong for Americans who truly rely on it.
  
QUESTION: Will tens of millions of hard-working Americans lose their Medicaid coverage?
ANSWER: This is not true. The bill eliminates waste, fraud, and abuse in the Medicaid program by removing illegal immigrants, people who are not actually eligible for Medicaid but who are receiving coverage anyway, and able-bodied adults without dependents who choose not to work.
 
QUESTION: Is there really fraud in Medicaid?
ANSWER:  In the last 10 years, the Center for Medicaid Services admitted that improper payments for Medicaid have exceeded HALF A TRILLION dollars. In just the past year, taxpayers spent $56 billion on benefits for able-bodied adults abusing the system—and over a million illegal immigrants are receiving free health care paid by American taxpayers. 
 
QUESTION: Are the bill’s work requirements too burdensome?
ANSWER: No.  Able-bodied adults without dependents would be required to work, volunteer, or participate in a job training program for only 20 hours per week, which promotes dignity, stability, and better health outcomes for families. Individuals could also choose to enroll in an educational program for at least half the time. This work requirement does not include: pregnant women, foster youth or former foster youth up to age 26, members of a Tribe, disabled individuals, and individuals who are a parent or caregiver of a dependent child or an individual with a disability.
 
QUESTION: Is this bill a giveaway to billionaires? 
ANSWER: No. The bill delivers the largest middle- and working-class tax cut in U.S. history. In fact, this bill will put more than $10,000 a year back into the pockets of typical hardworking Americans.
 
QUESTION: Does the bill end taxes on Social Security?
ANSWER: Yes, the bill delivers historic tax relief to seniors, with a new tax deduction that, combined with other deductions, ensures nearly 90% of Social Security beneficiaries will no longer pay federal income taxes on their benefits, providing meaningful and immediate relief to seniors who have spent a lifetime contributing to our nation's economy.

QUESTION: Will the bill force rural hospitals to close?
ANSWER: No, quite the opposite. The bill expands protections for rural hospitals, provides targeted funds for rural care, and gives states flexibility to support local providers. By strengthening Medicaid, the bill makes more resources available for vulnerable populations and safety net providers, like rural hospitals.
 
QUESTION: Does this bill cut SNAP benefits?
ANSWER: No. It does not reduce funding for the Supplemental Nutrition Assistance Program (SNAP). Eligible Americans—including low-income families, children, and seniors in need—will continue receiving their full support.  The bill does remove illegal immigrants from eligibility, ensuring taxpayer dollars go to citizens who genuinely need assistance.