The Medicaid cut
Trump and Republicans made the deepest Medicaid cut in 60 years — to help pay for tax cuts.
- Who acted
- Trump signed it. Republicans in Congress passed it.
- Who gained
- The richest tenth gains about $13,600 a year from the same law’s tax provisions.
- What working people pay
- $840 billion comes out of Medicaid. About 10.3 million people are projected to leave the rolls by 2034.
- The connection
- Republicans used the Medicaid savings to cover part of their tax law.
Receipt: CBO estimates reported by KFF and CBPP
Trump's 2025 law cuts $840 billion from Medicaid over ten years — the program that covers low-income families, disabled people, and most nursing-home care in America.
About 10.3 million people are projected to leave the rolls by 2034 — more than half through new work-reporting paperwork that often removes eligible people who miss a form, not people dodging work.
The savings did not shrink the deficit. They helped offset tax provisions that give the richest tenth $13,600 a year. Trump signed it. Republicans passed it. That is the transfer, in one sentence.
Trump signed it. Republicans passed it. They cut $840 billion from Medicaid while the richest tenth gets $13,600 a year.
