The Senate Republican tax bill poised for passage includes the most sweeping cuts to the federal safety net since the 1990s, slashing more than $1 trillion in social spending over the next decade. The reductions primarily target Medicaid and SNAP (food stamps), as Republicans aim to offset part of the bill’s $3 trillion price tag.
The bill proposes an estimated 18% cut to Medicaid and 20% cut to food stamps, potentially leaving 12 million fewer Americans with Medicaid and 2 million without SNAP, according to Congressional Budget Office projections.
Key changes include new work requirements for Medicaid recipients and SNAP participants, co-pays for low-income enrollees, and limits on benefit eligibility based on revised poverty metrics. Critics say the measures could devastate rural hospitals, price out low-income families, and result in massive coverage losses.
Republicans, including Sen. Markwayne Mullin and Heritage Foundation fellow Robert Rector, defended the cuts as necessary to curb fraud and overspending. But internal GOP divisions and broken campaign promises—especially on Medicaid—have drawn criticism from both parties.
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