President Donald Trump has promised not to cut Medicaid many times over the past decade, including in the tax-and-spending legislative package he has made a top priority in his second administration.
But several provisions in the bill, which the House of Representatives passed in a largely party-line 215-214 vote in May 2025, could cause millions of Americans enrolled in Medicaid to lose their health insurance coverage, according to the nonpartisan Congressional Budget Office. Medicaid is funded jointly by the federal government and the states. The program provides nearly 80 million Americans, most of whom are low-income or have disabilities, with health insurance.
