How The One Big, Beautiful Bill Sustains And Saves Medicaid

In a huge victory for Oklahoma, Congress recently passed President Donald Trump’s “Big, Beautiful Bill,” which, among many wins, will deliver the largest-ever tax cut for working and middle-class families, secure the border, and lower energy costs.

Unfortunately, Washington Democrats who are desperate to change the media narrative after a brutal 2024 election loss have made it their mission to lie about this bill and mislead American families — especially on Medicaid program improvements.

Democrats claim the bill guts the program. But in reality, Republicans voted to protect and strengthen Medicaid for those who need it most.

Medicaid’s long-term stability is at risk. During the Obama administration, Democrats expanded Medicaid eligibility to include able-bodied adults — adding 20 million able-bodied people to the program rolls between 2013 and 2021. Today, roughly 35 million Americans are living below the poverty line, while over 70 million people are on Medicaid. What’s worse, a stunning 36% of Medicaid spending is on able-bodied working-age adults — most of whom are not working.

What was first designed as a critical social safety net for America’s most vulnerable — including pregnant women, children, people with disabilities, and low-income seniors and families — has quickly ballooned into an unsustainable mess at risk of bankruptcy.

The Big, Beautiful Bill will protect Medicaid benefits for those who need them most and help move millions of able-bodied adults with no children from welfare to work — all while saving taxpayers billions of dollars. By the way, only in Washington is increasing current Medicaid spending levels by 20% over the next 10 years seen as a “cut.”

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This bill includes popular Clinton-era work requirements for able-bodied adults ages 19-64 with no dependents, and includes exceptions for pregnant women, new mothers, and those facing short-term hardships. Under this commonsense law, eligible recipients must complete 20 hours of work, education, or volunteering per week to receive taxpayer-funded Medicaid benefits.

To protect and sustain the Medicaid program, the only people who will see a change in coverage are illegal immigrants, those who are already ineligible for the program, and able-bodied adults ages 19-64 with dependents over 14 years old who choose not to work, volunteer, or go to school for just 20 hours per week.

Most Americans recognize that without commonsense reform, Medicaid would be at a higher risk of collapse. As promised, Republicans are getting the waste, fraud, and abuse out of Medicaid to protect the well-being of America’s most vulnerable. Despite the Democrats’ gross lies, the “Big, Beautiful Bill” will strengthen and protect the social safety net for every eligible American who needs it. In passing President Trump’s historic bill, Republicans are ensuring Medicaid can better serve the neediest Americans for generations to come.

U.S. Senator Markwayne Mullin represents the state of Oklahoma. He serves on the Senate Armed Services Committee; the Appropriations Committee; the Health, Education, Labor, and Pensions (HELP) Committee; and the Indian Affairs Committee.

The views expressed in this piece are those of the author and do not necessarily represent those of The Daily Wire.