Government Spending Cuts - The bill includes approximately $8 billion in cuts to PBS and around $1 billion in cuts to foreign aid [3] - Medicaid cuts are strategically designed to become binding after the midterms [11] - Over $500 billion in Medicare cuts will begin in January [13] Healthcare Impact - A health clinic and hospital in a rural area in Nebraska are closing due to Medicaid cuts [10] - CBO estimates that approximately 5 million Americans will lose their healthcare coverage who are currently on the ACA, starting in January [13] Social Program Changes - Changes to SNAP will cause millions of people to lose their nutrition assistance, starting earlier than next December [14] Political Landscape - The legislation is considered the single most unpopular major piece of legislation to pass Congress in recent history [9] - The bulk of the cuts will not take effect until a few weeks after the 2026 midterm election [12]

One of the Democrats who spoke out overnight on the House floor was Congressman Brendan Bole of Pennsylvania. He's the ranking member of the budget committee. Here's a bit of what he had to say.The decision we have been entrusted by the American people to make will have ramifications for millions of our fellow Americans and indeed for our country for decades to come. There may not be a lot of people able to watch at 4:05 in the morning, but in just a few short hours, some of them on Medicaid will be waking ...