Top 10 Ways the House Republicans’ Reconciliation Bill Will Harm People with Disabilities

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.

The bill passed by the House Energy and Commerce Committee undermines essential supports for people with disabilities. By slashing Medicaid funding and imposing administrative hurdles, the bill will reduce access to essential services. Because people with disabilities rely on every part of the Medicaid program across settings, eligibility categories (including Medicaid expansion), and services, they will be among the hardest hit.

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