A new Perspective analyzes the impact of four past large public coverage “contractions”: Reagan-era Medicaid cuts, the 2005 TennCare disenrollment, 2019 Arkansas work requirements, and the Medicaid “unwinding” following the temporary pandemic expansions to estimate the impacts of the OBBBA.
The so-called One Big Beautiful Bill Act signed into law by President Trump on July 4, 2025 will cut $1 trillion from federal health care programs over the coming decade and cause 10 million individua...