Trump Claims GOP Bill Doesn’t Touch Medicaid: In a recent statement, former President Donald Trump asserted that the GOP’s “One Big Beautiful Bill” does not affect Medicaid, emphasizing that it targets only “waste, fraud, and abuse.” However, independent analyses and expert evaluations indicate that the bill includes substantial changes to Medicaid, contradicting Trump’s statements.
Trump Claims GOP Bill Doesn’t Touch Medicaid
Despite President Trump’s assertions, the GOP’s “One Big Beautiful Bill” includes substantial changes to Medicaid that could lead to significant coverage losses, service restrictions, and administrative challenges for both individuals and states. It’s crucial for stakeholders to understand these proposed changes and their potential impacts on healthcare access and delivery.

Aspect | Details |
---|---|
Work Requirements | Mandates 80 hours/month of work, education, or volunteering for adults under 65. |
Estimated Coverage Loss | Up to 8.6 million people could lose Medicaid coverage by 2034. |
Funding Cuts | Proposes $880 billion in Medicaid funding reductions over ten years. |
Service Restrictions | Eliminates Medicaid coverage for gender-affirming care and restricts funding to clinics providing abortion services. |
Eligibility Verification | Imposes stricter eligibility checks and citizenship verification requirements. |
Official Bill Text | One Big Beautiful Bill Act |
Understanding the Proposed Medicaid Changes
1. Work Requirements
The bill introduces a “community engagement requirement,” mandating that adults aged 19 to 64 engage in at least 80 hours per month of work, education, or volunteering to maintain Medicaid eligibility. Exemptions exist for seniors, individuals with disabilities, caregivers, and pregnant individuals. However, states have discretion in implementing these requirements, potentially leading to administrative complexities and coverage loss.
2. Funding Reductions
To offset the costs of extending tax cuts and other fiscal measures, the bill proposes significant cuts to Medicaid funding, estimated at around $880 billion over ten years. These reductions could lead to decreased federal support for state Medicaid programs, potentially resulting in reduced services or eligibility.
3. Restrictions on Services
The legislation seeks to prohibit Medicaid from covering gender-affirming care for individuals of all ages and aims to block funding to clinics that provide abortion services. These provisions would limit the scope of services available to Medicaid beneficiaries, particularly affecting transgender individuals and those seeking reproductive health services.
4. Eligibility Verification
Enhanced eligibility checks and citizenship verification requirements are included, potentially leading to the disenrollment of individuals who fail to meet the new criteria or cannot navigate the administrative processes. States would be required to verify citizenship and immigration status with federal agencies, adding layers of bureaucracy to the enrollment process.
Practical Implications As Trump Claims GOP Bill Doesn’t Touch Medicaid
- For Individuals: Navigating the new work requirements and eligibility verifications may be challenging, especially for those with limited access to resources or facing language barriers.
- For States: The proposed funding cuts and administrative mandates could strain state budgets and healthcare systems, potentially leading to reduced services or increased state taxes to compensate for the loss of federal funds.
- For Healthcare Providers: Clinics and hospitals may experience increased uncompensated care burdens as more individuals lose Medicaid coverage, impacting their financial stability and ability to provide services.
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Frequently Asked Questions (FAQs)
Q1: Who would be affected by the new work requirements?
A1: Adults aged 19 to 64 without disabilities, not pregnant, and not primary caregivers would need to meet the 80-hour monthly requirement to maintain Medicaid eligibility.
Q2: How will the funding cuts impact Medicaid services?
A2: The $880 billion reduction could lead to decreased federal support for state Medicaid programs, potentially resulting in reduced services, stricter eligibility criteria, or increased state taxes to compensate for the loss of federal funds.
Q3: What services are being restricted under the new bill?
A3: The bill seeks to eliminate Medicaid coverage for gender-affirming care and restrict funding to clinics that provide abortion services, limiting access to these services for Medicaid beneficiaries.
Q4: How will eligibility verification changes affect enrollees?
A4: Stricter eligibility checks and citizenship verification requirements could lead to the disenrollment of individuals who fail to meet the new criteria or cannot navigate the administrative processes, potentially increasing the uninsured population.