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H.R. 1 Signed: Largest Medicaid Cuts in U.S. History

Federal

Issue

The 'One Big Beautiful Bill' includes $1 trillion in national Medicaid cuts over 10 years, with California projected to lose $30 billion annually. Work requirements, enrollment freezes, and PPS rate changes directly threaten FQHC funding models.

Key points

  • $1 trillion in national Medicaid cuts over 10 years — largest in U.S. History
  • California projected to lose $30 billion annually in Medicaid funding
  • Work requirements, enrollment freezes, and PPS rate changes directly threaten FQHC funding models

Sources for this story

CHCF

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Cite this analysis

FQHC Talent. (2025, July 4). H.R. 1 Signed: Largest Medicaid Cuts in U.S. History. Source: CHCF. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/hr1-signed

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