Roughly 11.8 million adults and children will be at risk for losing health insurance if Republicans' domestic policy package becomes a law. The losses won't come all at once. The GOP's “ One Big, Beautiful Bill Act ” makes changes that will whittle away at enrollment through federal health care programs like Medicaid and

Republicans tax bill will cut $1 trillion from Medicaid and Affordable Care Act insurance plans. Nearly 12 million people to lose health insurance.

With the president’s domestic policy law signed, states will have to administer many of the cuts and decide how much they can spend to keep their citizens insured and fed.