John,
The Senate has passed Trump’s Big Ugly Bill, a sweeping tax giveaway to billionaires and big corporations that pays for those handouts by tearing apart our healthcare system. It dismantles Medicaid and undercuts the Affordable Care Act, stripping coverage from millions—all to help fund more of the same top-end tax cuts that rig the economy against working people.
If the House passes this version, the consequences will be immediate and catastrophic. Millions of low-income families will be pushed off Medicaid. Enhanced subsidies for ACA plans will disappear. People with disabilities, children, and seniors in nursing homes will lose access to care.
The predictions are stunning: 17 million people will lose healthcare coverage under the Senate-passed bill and at least 51,000 people will die preventable deaths each year.[1][2] Every one of those losses represents a person denied access to cancer treatment, prenatal care, mental health services, or prescription drugs they need to survive.
This is a full-scale attack on the American healthcare system, driven by the same political agenda that gave us the first Trump tax scam—another enormous giveaway for billionaires and corporations, paid for by stripping basic services from working families.
The House must vote NO. There is no justification for passing legislation that causes this level of harm. Tell your representative to reject the Senate’s Big Ugly Bill and stop this attack on healthcare to pay for more tax cuts for the rich.
This legislation is not about improving the healthcare system. It is about dismantling it to help fund more tax breaks for the wealthy and corporations. If it passes, millionaires and billionaires in the top 0.1% will receive an average tax cut of $255,000 a year.[3]
The message is unmistakable: profits for the powerful, paid for by the health and security of everyone else.
The updated bill includes the most severe Medicaid cuts ever proposed. It expands red-tape reporting requirements to more parents, including those raising teenagers. It phases down provider taxes that states rely on to keep their health systems afloat. And it eliminates the ACA’s enhanced tax credits that have helped millions of Americans afford insurance since the pandemic.
The House is expected to vote today. But they need to hear from you now.
Tell your representative to stop this bill. Protect Medicaid, defend the ACA, and reject another round of tax cuts for the ultra-wealthy.
Together, we can stop this cruel and calculated attack and fight for a tax and healthcare system that serves all of us.
John Foti
Legislative Director
Americans for Tax Fairness Action Fund
[1] 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.
[2] Projected Mortality Impacts of the Budget Reconciliation Bill
[3] Analysis of Tax Provisions in the Senate Reconciliation Bill: National and State Level Estimates
-- David's email --
John,
The Senate passed a new version of Trump’s Big Ugly Bill, and it’s even more toxic than the one the House barely squeaked through by a single vote. It slashes billions more from Medicaid, all to make room for tax breaks for billionaires and corporations. Now, that bill is headed back to the House for a final vote. This is our last chance to stop it.
The Senate’s version cuts more than $1 trillion from Medicaid, Medicare, and the Affordable Care Act, risking coverage for millions. We’re talking about seniors, people with disabilities, and low-income families being kicked off their healthcare while the richest 1%, who make more than $743,000 a year, will walk away with an average tax cut of $61,000.[1]
And who gets left behind? Working families. The middle 20% of Americans would get just 11% of the bill’s tax benefits. Those in the bottom fifth? Less than 1%. Someone in the top 0.1% would pocket $255,155 a year, nearly triple most households’ total income. This isn’t tax reform, it’s a heist. [2]
Thankfully, only 27% of registered voters support this bill. Among independents, it’s even worse at just 20% support, with 57% opposed.[2] The American people have spoken. Now it’s time for the House to listen.
Tell your Representative to vote NO on the Senate’s “Big Ugly Bill.”
This bill is the definition of economic cruelty. While working families struggle with rising costs of food, rent, and healthcare, Trump’s allies are slashing the food aid and health programs that millions rely on, just to hand another round of tax breaks to the ultra-rich.
Medicaid is being gutted so deeply that it will rip holes in state budgets, shutter hospitals, and leave patients in limbo. Food assistance is being hacked apart, leaving children hungry while CEOs cash out stock options.
These are deliberate attacks on people who are just trying to get by, pushed by lawmakers who think the wealthiest deserve more and everyone else should settle for less.
This is the final round. The Senate has done its damage. Now all eyes are on the House. Every act of resistance can help tip the scales.
Take action now to make sure every member of Congress knows this bill is political poison.
Together, we can stop this cruel bill and defend the dignity every family deserves.
David Kass
Executive Director
Americans for Tax Fairness Action Fund
[1] 2025 Budget Stakes: High-Income Tax Cuts, Price-Hiking Tariffs Would Harm Families
[2] Analysis of Tax Provisions in the Senate Reconciliation Bill: National and State Level Estimates
[3] Polls show Trump's big bill is unpopular as Republicans stare down their deadline for passage
