Health Secretary Defends Trump-Backed Spending Overhaul While Democrats Warn Millions Could Lose Coverage
The nonpartisan Congressional Budget Office estimated that the One Big Beautiful Bill Act will reduce federal Medicaid spending by more than $900 billion over a decade. But in a series of congressional hearings last month, Health and Human Services Secretary Robert F. Kennedy Jr. misleadingly claimed that “there are no cuts to Medicaid” as a result of that 2025 law.
Kennedy said there are no cuts to Medicaid under the OBBBA because the CBO also estimated that federal spending on Medicaid will increase by “47% over the next 10 years.” But health policy experts told us that total spending on Medicaid is expected to still grow because of population changes and an increase in healthcare costs.
“[T]he notion that since Medicaid spending overall will continue to rise means that there are no cuts is simply false,” Michael S. Sparer, chair of the department of health policy and management at the Mailman School of Public Health at Columbia University, told us in an email. “The rise in Medicaid spending would be far greater had HR1 not been enacted,” he said, referring to the OBBBA’s assigned bill number.
At the hearings, however, Kennedy repeatedly clashed with Democrats who said that the Republican legislation that President Donald Trump signed into law last summer made cuts to Medicaid and would reduce access to healthcare for millions of people.
















