Executive Summary
This article discusses the GOP reconciliation package, officially called the One Big Beautiful Bill Act, and its implications for Medicaid and health care access.
Among high-income countries, the U.S. is the most dangerous place to give birth. Children continue to face unacceptable financial and geographic health care barriers. The reconciliation bill threatens to exacerbate these crises. By slashing Medicaid funding and intensifying administrative burdens, the bill will force states to scale back eligibility, reduce services, or both. The scale of anticipated coverage losses is staggering: 16 million people will lose their health insurance. Further, countless maternal and child health care providers nationwide will lose access to the federal funding that keeps their doors open, especially in rural communities. This paper outlines the top ten reasons why the reconciliation bill will devastate maternal and child health.
