Fact Check: Trump's One Big Beautiful Bill Act could leave 12 million Americans uninsured.

Published July 12, 2025

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# Fact Check: "Trump's One Big Beautiful Bill Act could leave 12 million Americans uninsured." ## What We Know The claim that Trump's "One Big Beauti...

Fact Check: "Trump's One Big Beautiful Bill Act could leave 12 million Americans uninsured."

What We Know

The claim that Trump's "One Big Beautiful Bill Act" could leave 12 million Americans uninsured is supported by various analyses and estimates from credible sources. According to the Congressional Budget Office (CBO), the legislation is projected to cut federal health spending by approximately $1 trillion over the next decade, which is expected to result in nearly 12 million additional people being uninsured by 2034. This estimate is based on reductions in federal support for Medicaid and the Affordable Care Act (ACA) marketplaces, which have historically provided coverage to millions of Americans.

The bill, signed into law by President Trump, includes provisions that would impose stricter eligibility requirements for Medicaid, such as work requirements that could lead to many current enrollees losing their coverage. Additionally, the legislation is expected to make it more difficult for individuals to enroll in and maintain ACA coverage, further exacerbating the issue of uninsured Americans (NPR, KFF).

Analysis

The evidence supporting the claim comes from multiple reputable sources, including the CBO and health policy experts. The CBO's estimate of 11.8 million additional uninsured individuals is particularly significant, as it reflects a nonpartisan analysis of the bill's implications for health coverage (KFF). Furthermore, reports from health news outlets like NPR detail specific provisions of the bill that would limit access to healthcare, such as increased out-of-pocket costs for Medicaid enrollees and new requirements for maintaining ACA coverage (NPR).

While some proponents of the bill argue that these changes are necessary to reduce taxpayer burdens and combat fraud, critics point out that the cuts to Medicaid and ACA funding will disproportionately affect low-income individuals and families who rely on these programs for their health coverage. The potential for increased uninsured rates is compounded by the fact that many rural hospitals and healthcare providers may also face financial strain due to reduced Medicaid payments, which could lead to service reductions or closures (Wired, NBC News).

In evaluating the reliability of these sources, it is important to note that the CBO is a respected nonpartisan agency that provides objective analyses of proposed legislation. Media outlets like NPR and Wired also have established reputations for thorough reporting on healthcare issues, making their assessments credible.

Conclusion

The claim that Trump's "One Big Beautiful Bill Act" could leave 12 million Americans uninsured is True. This conclusion is based on credible estimates from the CBO and corroborating reports from various health policy experts and news organizations. The provisions of the bill are expected to significantly reduce federal support for Medicaid and the ACA, leading to an increase in the uninsured population.

Sources

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