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Fortune
Fortune
Eleanor Pringle

A void of infrastructure in Trump's 'Big, Beautiful Bill' may result in a customer service nightmare, warns Washington insiders

President Donald Trump walks into the White House on July 13, 2025 in Washington, DC. (Credit: Tasos Katopodis - Getty Images)
  • EXCLUSIVE: Experts are raising alarms over the feasibility of Trump’s ‘One Big, Beautiful Bill,’ particularly its Medicaid work requirements, which would force nearly 20 million Americans to verify their hours worked, studied, or volunteered. Former Treasury and state health officials told Fortune the already understaffed agencies lack the infrastructure to manage the surge, warning of possible system breakdowns, long wait times, and millions losing coverage by 2034.

While economists argue over whether President Trump’s “One Big, Beautiful Bill” (OBBB) will add to national debt or manage to offset the “largest tax break in history” with tariffs, some experts are worried about the practicality of the plan.

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