House Republicans have unveiled the cost-saving centerpiece of President Donald Trump’s “big, beautiful bill” that could have a big effect on Rhode Island’s roughly 366,000 Medicaid enrollees.
The legislation unveiled Sunday calls for at least $880 billion in cuts — largely to Medicaid to help cover the cost of $4.5 trillion in tax breaks. The proposal is touching off the biggest political fight over health care since Republicans tried but failed to repeal and replace the Affordable Care Act during Trump's first term in 2017.
Central to the savings are changes to Medicaid, which provides almost free health care to more than 70 million Americans, and the Affordable Care Act, which has expanded in the 15 years since it was first approved.
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