How Trump bill Medicaid cuts will impact U.S. health care

President Donald Trump’s “Big Beautiful bill” would make comprehensive changes in US health services by leaving millions of vulnerable Americans without health insurance and threatening hospitals and centers that provide care.

On Tuesday, the Senate voted 51-50 votes after a marathon voting session for changes overnight. However, the draft law will face another major test where Republicans have a razor-razor and some members object to the legislation.

The latest changes in the invoice will reduce health expenditures of approximately $ 1.1 trillion in the next decade. New predictions From the non -Partisan Congress Budget Office.

According to CBO, more than $ 1 trillion of these deductions would come from Medicaid, a common Federal and State Health Insurance program for disabled and low -income Americans. Financing deductions go beyond the scope of insurance: the loss of financing can feed many rural hospitals based on federal expenditures.

The CBO estimates that the current version of the bill will lose health insurance by 11.8 million people by 2034, and the majority of these people will cause medicaid to lose their scope.

However, the results may be even greater. When Trump’s bill is combined with separate policy changes, 17 million people who lost health insuranceMedicaid Program Director and Health Policy Research Organization KFF’de uninsured Robin Rudowitz said.

Authorized, other changes, the appropriate maintenance law market includes new regulations that will significantly limit access to the scope of the scope of the appropriate maintenance law and increased Aca tax loans, he said.

“If all this passes, it would represent the biggest roll of health insurance due to federal policy changes,” KFF’s Cynthia Cox said. He said. analysis Published on Tuesday.

Approximately 72 million Americans According to government data, approximately one fifth of the total US population is registered to Medicaid. Medicaid is the primary payment for the majority of the nursing home residents and About 40% of all births.

The Trump administration and allies insist on deductions made to eliminate the draft, fraud and abuse. The Democrats said they broke the president Repeated words Not touching the Medicaid program. Medicaid has been one of the most separatist issues throughout the negotiations in both rooms, and some Parliament Republicans expressed their reservations about how deep the deductions are.

Jennifer Mensik Kennedy, President of the American Nurses Association, said, “I understand that they want to cut the fraud, but making a scroll from the top will not solve the problem.” He said.

He said that the outages could close hospitals and health centers in rural areas and cause job losses for health personnel such as nurses.

The deductions in the draft come from several different provisions, but the share of the lion’s Medicaid savings will come from two changes.

Someone would set up New, solid national work requirement for some Medicaid beneficiaries between 19 and 64 years of age. Unless an exception is entitled to an exception, it will require that adults without obstacles and children older than 14 years of age will require that their parents go to school, voluntarily or go to school for at least 80 hours a month to protect the scope of insurance.

One analysis On June 23, the need for working by UC Berkeley Working Center will cause the most people to lose insurance and “constitute a ruthless obstacle against older adults”. He said that there was a fixed decline in employment in employment after the age of 50 due to outside factors. [people’s] Control, “Health, age discrimination and increasing responsibility to provide care to aging family members.

“The same factors make elderly adults in particular vulnerable against the loss of coverage under medicaid job requirements.” He said.

Mensik Kennedy said that people living in rural communities such as seasonal farmers can fight to find employment for a part of the year.

Aarp, a advocacy group that focuses on issues that affect the 50 or larger ones in the USA, Aarp, John Thune, RS. And the Senate minority leader Chuck Schumer sent a letter to DN.Y. and could not disqualify people who could not meet the needs of the Medicaid, without meeting the needs of purchasing through ACA markets.

“This creates a vertical cover for those who do not have an appropriate coverage option, without an appropriate coverage option for part-time employees in the beginning of the 50s and 60s.” He said.

Some members of the Trump administration Conservative MPs argue that it is a gap to receive more federal funds of federal funds than disproportionate than states contributed.

According to the CBO report, another strategy, called the constraints of the bill on provider taxes and state payments, will reduce expenditures in a way of $ 375 billion.

However, some GOP senators and experts expressed their concerns that the limitation of provider taxes will threaten a critical flow of financing for rural hospitals, which may force them to close them and other health centers. Mensik Kennedy said that health care providers in rural areas, especially critical access hospitals, trust in Medicaid financing to support them compared to urban areas.

“You will see the closing of rural hospitals that are the backbone of the communities and already struggling financially. You will see half a million loss of work.” He said.

He said that pregnant women in rural areas may last 30, 40 or more miles to deliver a baby, and emergency medical services may have to take an hour to reach a patient who has a heart attack.

Patients in rural communities already have chronic diseases and mortality, because it has limited access compared to maintenance. Disease Control and Prevention Centers.

The Senate Republicans added a $ 25 billion fund to the bill to help rural hospitals open in the face of medicaid outages.

However, Mensik Kennedy added that the fund was “put a bucket of water in the house fire” and balancing the provider taxes and other provisions is not enough.

For rural hospitals, deductions in general Medicaid financing will exceed 20% in more than half of the states. report National Rural Health Association.

“The orphan treatment law will offer more options for Americans living with rare diseases,” Trade Group Biotechnology Innovation Organization said on Wednesday. In a shipment in x. The Group also said that only 5% of rare diseases have an approved treatment, and the economic wage of rare conditions in the US exceeded $ 997 billion in 2019.

However, on Tuesday, drug pricing group patients called on the invoice of orphan treatments for affordable drugs and allowed Medicare drug price negotiations to provide more savings to patients.

Group General Manager Merith Basey said in a statement, “By moving us in the wrong direction, lowering drug prices by undermining the challenging progress in the wrong direction,” he said.

“Pharmaceutical lobbyists will not give up anything to protect industrial profits, and the majority of the Senate reminds the Americans why they pay the highest drug prices in the world.

He referred to the CBO estimates on how much orphan treatments will cost the taxpayers in the next decade and called it a “completely unnecessary $ 5 billion gift” to the pharmaceutical industry.