A large part of the financing for the second -period agenda of President Donald Trump, would come from cuts to security network programs such as Medicaid, the medical care program for low -income Americans and those with disabilities, and SNAP, which helps millions of low -income Americans to buy communicable each month.
The bill approved by the Chamber earns around $ 600 billion in cuts to Medicaid. Around 10.9 million people could lose their coverage in the next 10 years, according to Wednesday’s estimate by the Congress Budget Office.
SNAP cuts total an estimated $ 230 billion in 10 years.
Republicans say their goal is to reduce “waste, fraud and abuse” in these programs to save hundreds of billions of dollars in the next decade and pay Trump’s tax cuts and higher funds for the border and defense.
The president of the Chamber of the Chamber, Mike Johnson, speaks with the media after the Chamber approved little the agenda of the president of Bill Donald Trump in the Capitol, on May 22, 2025, in Washington, DC, DC
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Here is a breakdown of these cuts in the current form of the bill:
Medicaid cuts
Work requirements: The bill imposes new work requirements of 80 hours per month to Medicaid receptors with no 19 to 64 years who do not have dependents. These requirements include work or other approved activities, such as volunteering.
According to the current text of the invoice, these work requirements will not be activated until 2026.
The minority leader of the House of Representatives, Hakeem Jeffries, leaves the stage after the press conference of the House of Representatives on Medicaid and the SNAP cuts proposed by the reconciliation process of the Republicans in the Capitol, on May 6, 2025.
Bill Clark/Cq-Roll called Getty Images
Increased eligibility controls: The bill also requires that the states make eligibility redeterminations at least every six months for all recipients instead of the current 12 months.
Undocumented migrants: The legislation seeks to prohibit states from using their funds to cover undocumented immigrants. Undocumented immigrants are not eligible for Medicaid, but 14 states and the Columbia district have chosen to use their own funds to cover those people. This bill would penalize them by reducing the financing of Medicaid. The White House estimates that approximately 1.4 million undocumented migrants would lose coverage.
Copagags increase: The bill increases co -payments for Medicaid beneficiaries who earn more than the federal poverty level of just over $ 15,500 for individual beneficiaries. They would be asked to pay additional copayments of $ 35 dollars in some visits.
Income and residence verification: The Medicaid paperwork required for income and the verification of the residence will increase as legislators seek to take energetic measures against people who are “giving twice” in multiple jurisdictions. Additional steps are expected to especially affect the elderly and others who cannot respond quickly.
A nurse walks along the floor during his turn at the Lincoln Health Community Hospital in Hugo, Colorado, on October 23, 2024.
Aaron Ontivez/The Denver Post through Getty Images
Prohibits funds for abortions and gender transition care: The legislation would prohibit Planned Parenthood’s funds provided that the organization provides abortions and abortion services.
The legislation also prohibits Medicaid’s funds from going to gender transition care, including puberty blockers, hormonal treatments and surgery. In the initial text of the bill, this language was applied only to children, but expanded to include adults shortly before the camera vote.
Obamacare registration: The bill ends open registration for the Health Care Law at a low price a month before. Most states have an open registration from November 1 to January 15. The Chamber’s Bill requires that open registration ends on December 15. An analysis of the Kaiser Family Foundation found in 2025 that approximately 40% of the affiliates, or around 10 million people, plans are selected after December 15.
The legislation also eliminates a Biden era that allows ACA registration throughout the year for the poorest Americans, those who represent up to 150% of the level of poverty, or around $ 22,600 per year. Americans may still register throughout the year if they have had a “change in the circumstances or the occurrence of a specific event.”
These changes would encode a proposed rule in March by the Medicare and Medicaid Services Center of the Trump Administration.
A publication for Snap Food Stamp cards in A Walgreens in Queens, NY, March 30, 2024.
Lindsey Nicholson/UCG/Universal Images Group through Getty Images
Courteous
The bill tightens the eligibility requirements for the Supplementary Nutritional Assistance Program (SNAP), which used to be called the “Food Campan” program, which helped approximately 42 million low -income people to buy groceries per month in 2024.
Work requirements: The bill increases age for work requirements from 54 to 64. A similar bill presented in the Chamber in 2023 would have reduced the rolls between 3 million and 3.5 million people, according to the CBO. It would also require parents with children over 6 years to meet the work requirement. There are currently no work requirements for SNAP beneficiaries with dependent children at home.
Changing costs to states: SNAP is currently 100% funded by the federal government. The bill requires that states share at least 5% of SNAP’s benefits costs from 2028.
Indirect effects: The changes could have an impact on school lunch programs, which require that some previously eligible families request access and federal reimbursement payments for some school districts.
