John,

In their rush to win over the most extreme members of their caucus and pass the Big Brutal Bill by Donald Trump’s 4th of July deadline, Senate Republicans have added even harsher health care cuts―more than $1 trillion in cuts to Medicaid.

Projections now suggest that at least 17 million people will lose their health insurance under this disastrous bill.^1,2 And why? In order to give $4.45 trillion in tax breaks that primarily benefit the wealthy and corporations.³

But those looking to gut basic needs programs aren’t stopping there. Instead, later today the Senate will vote on a new amendment that, if passed, would destroy Medicaid expansion under the Affordable Care Act.⁴

With final votes on amendments currently underway, the Senate plans to hold their final vote on the Big Brutal Bill this evening. Send an urgent letter to Congress now reminding them that by wide margins, the American people reject cuts to health care and nutrition to pay for more tax cuts for the wealthy.

Under the Senate version, a worker earning $30,000 would receive a tax cut of just $108, while a multi-millionaire in the top 0.1% would receive a $255,155 tax cut.⁵

And this doesn’t include how the suffering and costs associated with cuts to Medicaid, Medicare, SNAP, and Trump’s tariffs would affect low-to-middle-income people.

Even before accounting for the deeper Senate cuts to Medicaid and the Affordable Care Act, projections indicate that the House-passed version of the Big Brutal Bill will result in 51,000 people dying preventable deaths each year.⁶

Send a message to Congress now demanding they reject the Big Brutal Bill!

Thank you for your activism. Together, we’re holding Congress accountable to the American people.

Deborah Weinstein
Executive Director, CHN Action

¹ CBO: Information About the Budgetary Effects of an Amendment in the Nature of a Substitute to H.R. 1, the One Big Beautiful Bill Act, as posted on the website of the Senate Committee on the Budget on June 27, 2025
² Stan Dorn, Unidos on X: Based on new CBO findings the number of uninsured resulting from the Senate bill is nearly 17 million -- more than the 16 million whom CBO found would lose coverage under the House bill
³ Joint Committee on Taxation: JCX-31-25 (June 28, 2025)
⁴ Senate Reconciliation Amendment Would Cut Hundreds of Billions More From State Medicaid Funding, Putting Coverage at Risk for Millions
⁵ 'Unprecedented Handout': Senate GOP Tax Bill Even More Regressive Than House Version
⁶ Projected Mortality Impacts of the Budget Reconciliation Bill