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Montana Leaders Prepare for Federal Medicaid Changes

UNITED STATES, JUL 8 – The One Big Beautiful Bill Act reduces federal spending by $930 billion over ten years and introduces Medicaid work requirements affecting millions, despite broad public opposition.

  • President Donald Trump signed the One Big Beautiful Bill, H.R.1, into law on July 4, 2025, in Washington D.C., enacting major tax and spending changes.
  • The bill extends 2017 tax relief permanently and introduces the first substantial Medicaid reform amid months of legislative negotiation.
  • H.R.1 reduces Medicaid spending growth from 4% to 2%, imposes 80-hour monthly work or community engagement requirements for Medicaid expansion recipients, and tightens eligibility checks.
  • The Congressional Budget Office estimates about 17 million Americans will lose health coverage under the plan, while 85% of households gain tax cuts averaging $1,750 for middle incomes.
  • Opponents warn the bill disproportionately benefits the wealthy, threatens Medicaid access and public health, and triggers local government budget reviews and public health concerns.
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The Center Square broke the news in United States on Monday, July 7, 2025.
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