The House Republican budget reconciliation legislation, dubbed “the big, beautiful bill,” could lead to nearly 11 million people losing health insurance over the next nine years, the Congressional Budget Office concluded this week. Approximately 7.8 million could lose Medicaid coverage if strict work requirements and more frequent eligibility checks are enforced, and several million more could lose coverage through changes to the Affordable Care Act exchanges.

The budget bill looks to cut $715 billion in Medicaid and $300 billion in the Supplemental Nutrition Assistance Program (formerly known as Food Stamps). The plan calls for work requirements for able-bodied childless adults and co-payments for those above 100% of the federal poverty level. The proposal also includes a tightening

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