"When President Donald Trump signed H.R. 1 - the "Big Beautiful Bill" - in July, he touted it as one of the largest tax cuts in U.S. history. The law would restore "fiscal sanity," he said, by eliminating over $1.5 trillion in federal spending. And it boosted military spending while ramping up the hiring of ICE agents, among other Republican priorities."
"But healthcare advocacy groups warned from the start that the budget bill would also enact unprecedented cuts to Medicaid, the nation's health insurance program for roughly 70 million people who have limited incomes and resources. The Center for Medicare Advocacy called H.R. 1 "the largest rollback of federal support for health care in American history," and the California Budget and Policy Center wrote in an analysis that the law "strips billions in federal support" for healthcare providers that rely on Medicaid."
"The system stands to lose up to $30 million next year, $100 million in 2027, and a projected $150 million in 2028 from the Medicaid cuts, according to AHS. Last Friday, word began to spread among employees that some staff jobs across health centers were being eliminated. The healthcare system's administration confirmed to The Oaklandside that AHS' board of trustees decided in November to shed hundreds of jobs. The statement did not say which positions will be affected."
H.R. 1 enacted large tax cuts and reduced over $1.5 trillion in federal spending while increasing military outlays and ICE hiring. The law also cuts Medicaid funding, affecting roughly 70 million low-income Americans and reducing federal support for healthcare providers. Alameda Health System projects losses of up to $30 million next year, $100 million in 2027, and $150 million in 2028 due to Medicaid reductions. AHS' board decided to eliminate hundreds of positions, identified 372 projected impacts, and will offer severance and enhanced retirement incentives for employees who volunteer to leave.
Read at The Oaklandside
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