2025-06-04-Jefferies-特朗普在医疗补助削减问题上改变态度以通过他的_伟大法案_..._7页_309kb

Trump Shifts Position on Medicaid Cuts for BBB Passage

• Key Change: President Trump's tone on Medicaid cuts in the "Big Beautiful Bill" (BBB) has reportedly shifted, potentially no longer opposing the bill that includes $715B in Medicaid cuts from the House, citing waste, fraud, and abuse as reasons for cuts.
• Bill Overview: The House-passed BBB includes $715B Medicaid cuts over the 2025-2034 period, impacting all Medicaid programs, not just drug spending (which comprises about 6-7% of the budget). Senate aims to pass its version by July 4th, with reconciliation expected.
• Mechanism and Impact: Medicaid cuts will be implemented via work requirements, which could reduce covered lives by approximately 10% starting in December 2026 when fully implemented. However, there are exclusions (e.g., minors, parents of young children), potentially mitigating impacts for companies with high pediatric patient volumes, such as those in cystic fibrosis treatments.
• Political Implications: This change in Trump's stance may encourage GOP fiscal hawks and moderates to align with the party to pass the bill, which also includes tax cuts and other provisions, despite objections from those prioritizing protection for vulnerable populations.
• Timeline: Senate committees will release targets starting this week. Bills may be reconciled and pass in both chambers by August, with enactment by the end of the year to avoid the Oct 1st federal fiscal year start.