#OneBigBeautifulBill The One Big Beautiful Bill Act is a proposed budget reconciliation bill in the 119th United States Congress. It passed the House of Representatives on May 22, 2025, with a narrow vote of 215-214-1 and was later amended and passed in the Senate on July 1, 2025, with a 51-50 vote, thanks to Vice President JD Vance's tie-breaking vote.

*Key Provisions:*

- *Tax Cuts*: The bill includes record levels of tax cuts, such as making permanent the 2017 Tax Cuts and Jobs Act, which would save the average family around $1,700 annually.

- *Spending Reforms*: It also includes spending reductions and investments in border and national security.

- *Temporary Tax Exemptions*: Temporary tax exemptions on tips, overtime, and car loan interest for US-made vehicles until 2028.

- *Medicaid Work Requirements*: Accelerated Medicaid work requirements and adjustments to the SALT deduction cap ¹ ².

*Impact and Reception:*

- *Conservative Reforms*: Supporters see it as a comprehensive set of conservative reforms, delivering on the American people's mandate.

- *Concerns*: Critics argue it would devastate health coverage for millions in Medicaid and Medicare, driving up uncompensated care and threatening vulnerable hospitals ³ ⁴.