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NewsKPBS Public MediaJuly 31, 2026United States

How the 'One Big Beautiful Bill' is Shaping Healthcare Campaign Ads

Republican candidates are running campaign ads to address voter concerns regarding healthcare costs and Medicaid following the passage of the 'One Big Beautiful Bill Act.' The legislation includes significant Medicaid funding cuts and new insurance requirements, leading candidates to focus their messaging on fraud reduction and rural hospital support to counter political backlash.

healthcareMedicaidelectionsrural healthinsuranceOne Big Beautiful Bill Act
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Why It Matters

The 'One Big Beautiful Bill Act' reduces federal Medicaid funding by $137 billion and introduces stricter eligibility requirements, which the Congressional Budget Office projects will result in 10 million fewer people having health insurance by 2034.

Key Facts

  • The One Big Beautiful Bill Act includes $137 billion in Medicaid funding cuts.
  • The Rural Healthcare Transformation Act provides $50 billion in funding for rural hospitals.
  • The Congressional Budget Office projects 10 million fewer people will have health insurance by 2034.
  • ACA premiums rose 21.7% nationwide between 2025 and 2026.
  • As of early 2026, there were 3 million fewer people enrolled in health insurance exchanges compared to when the bill passed.
  • Many major provisions of the bill, including further Medicaid funding reductions, are scheduled to take effect after the current midterm elections.
  • New requirements under the bill include frequent eligibility redeterminations and work requirements for Medicaid recipients.
  • ACA premium tax credits have already been removed as part of the bill's implementation.

Who's Mentioned

personSusan Collins“Maine Senator who highlighted $190 million in funding for rural hospitals.”organizationKFF“Conducted polling and analysis on healthcare policy and public trust.”organizationCongressional Budget Office“Projected that 10 million fewer people will have health insurance by 2034 due to”personMike Lawler“Republican Representative who voted for the bill and is running for reelection.”