Why the health care lobby failed to stop cuts to Medicaid funding

U.S. President Donald Trump, joined by Republican lawmakers, signs the One, Big Beautiful Bill Act into law on July 04, 2025 in Washington, DC. The law includes cuts to funding for Medicaid, food assistance and other social safety net programs.

The powerful health industry lobby couldn’t persuade GOP lawmakers to oppose big Medicaid cuts in President Trump’s tax and spending bill. What’s behind the lobbying failure?

(Image credit: Samuel Corum)

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