Overview

• Senate GOP set to debate changes to the ‘One Big Beautiful Bill Act’, demanding steeper spending reductions and alterations to the House’s Medicaid provisions.
• A nonpartisan CBO analysis forecasts that the bill’s Medicaid cuts and stricter eligibility checks could strip health insurance from about 8.6 million Americans.
• The legislation adds 80-hour monthly work or community service requirements for able-bodied Medicaid recipients, raising concerns over potential coverage loss.
• Republicans defend the measures as targeting ‘waste, fraud and abuse’ while Democrats warn the bill endangers vulnerable populations and critical SNAP benefits.
• Sen. Joni Ernst’s town hall remark—“we all are going to die”—highlighted the political backlash unfolding as the Senate prepares its revisions.