Public Law 119-21 (One Big Beautiful Bill Act), signed July 4, 2025
— the reconciliation statute: Medicaid, SNAP, and tax provisions, effective dates, and sections.
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— the reconciliation statute: Medicaid, SNAP, and tax provisions, effective dates, and sections.
Over 2025–2034: revenues −$4.5 trillion; direct spending −$1.1 trillion; net deficit +$3.4 trillion (conventional score).
roughly 10 million more uninsured over the decade (≈10.9 million including related ACA-subsidy expiration).
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, opening months of 2025: combined ~78–79 million (~71 million Medicaid, ~7.3 million CHIP).
— expansion adults 19–64, 80 hours/month of qualifying activity, exemptions, phase-in generally beginning 2027 with state-delay authority; and prior state work-reporting evaluations (e.g., Arkansas) documenting coverage losses among eligible people.
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(most recent reporting year): more than 40 million/month; and "Characteristics of SNAP Households: FY2023" — 79% of households include a child, elderly, or nonelderly disabled person; those households hold 88% of participants.
~$10/month reduction for more than 10 million households; ~600,000 households losing ~$100/month.
— permanence of the 2017 individual rates (37% top rate retained rather than reverting to 39.6%); and CBO distributional analysis of P.L. 119-21 — change in household resources after federal taxes and transfers, lowest decile losing and upper deciles gaining.
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