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HOUSE PASSES BILL CUTTING $1 TRILLION FROM MEDICAID; PRITZKER WARNS OF IMPACT ON ILLINOIS

By Mark Wells Jul 10, 2025 | 5:55 AM

The U.S. House last Thursday gave final approval to a sweeping budget bill that will slash federal Medicaid spending by an estimated $1 trillion over the next decade, drawing sharp criticism from Illinois Governor JB Pritzker and other Democrats who warn of severe consequences for healthcare in the state.

 

All three Republican members of Illinois’ congressional delegation — Reps. Mike Bost, Darin LaHood, and Mary Miller — voted in favor of the bill, despite a last-minute appeal from Gov. Pritzker urging them to oppose it.

 

According to an analysis by KFF (formerly the Kaiser Family Foundation), Illinois is projected to lose about $48 billion in Medicaid funding over 10 years — roughly 20% of what it would have otherwise received. That ranks among the largest percentage cuts nationwide, alongside states like Louisiana and Virginia, which each face estimated reductions of around 21%.

 

While the KFF analysis does not provide a state-specific estimate of how many Illinois residents could lose coverage, it projects the number of uninsured Americans would rise by 11.8 million nationwide as a result of the bill.

 

Gov. Pritzker warned that more than 330,000 Illinoisans could lose Medicaid coverage, with particularly devastating effects on rural hospitals that already face financial strain.

 

The bill, known as the “One Big, Beautiful Bill”, bundles many of President Donald Trump’s domestic policy priorities, including tax cuts and increased border security funding. It narrowly passed the Senate on Tuesday by a vote of 51-50, with Vice President J.D. Vance casting the deciding vote. Both Illinois Democratic senators, Dick Durbin and Tammy Duckworth, voted against it.

 

In the House, the bill passed 218-214.

 

“This is the most pro-worker, pro-family, pro-America legislation I have voted for during my time in Congress, and I was proud to help get it across the finish line for the hardworking Americans across my district,” Rep. Mary Miller said in a statement after the vote, calling it a “once-in-a-generation victory for the American people.”

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