From a public healthcare standpoint, this bill will cause harm to millions. It will also consolidate a new level of fascist repression and may be the final undoing of Constitutional Democracy.
Donald Trump’s so-called “One Big Beautiful Bill Act”, H.R. 1, narrowly passed in the U.S. House of Representatives on May 22, 2025 – by a single vote: 215-214. This legislation, totaling more than 1,000 pages — deploys a complicated congressional procedure known as “budget reconciliation” which will allow the Senate to pass it with fewer votes than would normally be required. It is an extremely dangerous bill and may push the U.S. over the edge into complete authoritarian rule while jeopardizing the health for more than 10.9 million U.S. Americans.
The bill now in the U.S. Senate, seeks to add nearly 11 million more U.S. Americans to the list of the uninsured by 2034, driven primarily by the elimination of $793 B in Medicaid and $268 B in ACA subsidy cuts
These changes include work/income verification, higher fees, and new paperwork delays, all of which worsen access and discourage enrollment.
The bill seeks to slash $880 billion from Medicaid, triggering eligibility restrictions, additional fees, and tighter work requirements.
SNAP benefits would also decline, with an estimated 3 million fewer people receiving monthly food assistance.
With 10.9 million losing healthcare coverage, hospitals—particularly in rural and underserved areas—would see rising numbers of uncompensated care, increasing the risk of facility closures and cutbacks.
This bill will exacerbate the already troubling fact that medical debt is the number one cause of bankruptcy in the U.S. More patients will incur high-interest debts to pay medical bills, often via subprime financing options.
The discriminatory bill includes a federal ban on Medicaid-funded gender-affirming care for both minors and adults, removing protections for transgender individuals.
It also terminates Medicaid access for undocumented immigrants, seeking to cut aid to states that have passed provisions to provide improved healthcare to undocumented. It is projected that CA will lose as much as $3 Billion annually as a result of this legislation.
Despite the vastly disproportionate tax breaks for billionaires gained by defunding funds for the civilian population, the bill is projected to increase the federal deficit by $2.4–2.6 trillion over a decade.
Budgets for public health-related services could lead states to further reduce healthcare and social service support, deepening inequality and healthcare delivery disparities.
In short, this billionaires’ “attack on the public health bill” shifts a staggering amount of public funds toward the wealthiest in the U.S., while aggressively reducing access to healthcare, nutrition, and public services for millions—including children, low-income families, and vulnerable communities. The human toll will likely include greater illness, financial ruin, and even increased mortality.
Passage of the bill will finance greatly increased fascist violence and repression
This bill includes provisions to extend Trump’s fascistic military invasion of cities by ICE and other armed military forces across the country (beyond Los Angeles) and dangerously circumvent Presidential accountability to judicial rulings.
From the rollingstone.com:
Trump’s reconciliation bill, which passed the GOP-led House and is currently under consideration in the Republican-led Senate, would give $8 billion to ICE to hire at least 10,000 new employees over five years; $600 million to help hire and onboard those people; and $858 million for employee retention and signing bonuses.
The legislation would also provide $45 billion for detention capacity and family residential centers, over $14 billion for transportation and removal operations, $1.3 billion for information technology investments and facilities upgrades to support enforcement and removal operations.
Elsewhere, there is $1.3 billion in funds for lawyers to represent the Department of Homeland Security in removal proceedings, and another $3 billion “to house, transport, and supervise unaccompanied alien children.”
‘Hidden’ Provision in Trump’s Big Bill Could Disarm US Supreme Court and Facilitate Increasingly Authoritarian Rule
From Newsweek.com
A provision “hidden” in the sweeping budget bill that passed the U.S. House on Thursday seeks to limit the ability of courts—including the U.S. Supreme Court—from enforcing their orders.
“No court of the United States may use appropriated funds to enforce a contempt citation for failure to comply with an injunction or temporary restraining order if no security was given when the injunction or order was issued,” the provision in the bill, which is more than 1,000 pages long, says.
The provision “would make most existing injunctions—in antitrust cases, police reform cases, school desegregation cases, and others—unenforceable,” Erwin Chemerinsky, the dean of the University of California Berkeley School of Law, told Newsweek. “It serves no purpose but to weaken the power of the federal courts.”
Why It Matters
The provision would prohibit courts from enforcing contempt citations for violations of injunctions or temporary restraining orders—the main types of rulings that have been used to rein in President Donald Trump‘s administration—unless the plaintiffs have paid a bond, something that rarely happens when someone sues the government.
Provision to stop regulation of “Real Page,” the A.I. system used by corporate landlords to collude on rent increases
Section 601 of the bill specifically includes language regarding artificial intelligence and machine learning (AI/ML). Shortly after assuming the presidency, Donald Trump revoked former President Joe Biden’s executive order aimed at setting limits for artificial intelligence development, while also soliciting feedback on his own proposed ‘AI Action Plan.’ H.R. 1 will codify Trump’s removal of regulation guardrails on AI. According to this section of the bill:
- The Secretary of Commerce shall ensure that any regulation or guidance issued by the Federal Trade Commission relating to AI/ML is consistent with existing law.
- Any rulemaking authority related to AI/ML by an agency within the Executive Branch may not be used to preempt state laws regulating AI/ML.
- Section 601 of H.R. 1 includes language that prohibits federal agencies and lawmakers from taking action against companies developing autonomous technologies without explicit Congressional authorization. This provision essentially gives AI firms immunity from state oversight, allowing them to operate with relative freedom across the country.
If a corporate real estate software company like Real Page, Inc. are allowed to operate freely without regulation due to blockage of state oversight, they can leverage this position to manipulate market conditions for renters. Previously, in August 23, 2024, the Department of Justice, then under the Biden Administration, filed an antitrust lawsuit Friday against RealPage Inc., accusing it of an illegal scheme that allows landlords to coordinate to hike rental prices.
Coordinated efforts among corporate landlords in the tech will lead to anti-competitive practices in the rental housing marketplace, most like leading to continued rising rents and further accelerated displacement of oppressed people communities in the urban centers.
Take Action to Stop H.R. 1
in the U.S. Senate!!!
Join the National Nurses United phone banking effort
to lobby Republican swing votes:
Wednesday, June 18, 12:00pm PT/3:00pm ET
Tuesday, June 24, 12:00pm PT/3:00pm ET
Thursday, June 26, 12:00pm PT/3:00pm ET
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