# One Big Beautiful Bill Act Signed Into Law

> Sweeping tax-and-spending law (P.L. 119-21) making the 2017 individual tax cuts permanent, adding new deductions.

Donald Trump · Trade & Economy · Legislation · Jul 4, 2025
Official record: https://en.wikipedia.org/wiki/One_Big_Beautiful_Bill_Act

## What happened

Sweeping tax-and-spending law (P.L. 119-21) making the 2017 individual tax cuts permanent, adding new deductions, and cutting Medicaid/ACA spending with new work requirements.

## How it happened

Passed via budget reconciliation — Senate 51-50 (VP Vance tie-break), House 218-214 — and signed July 4, 2025.

## Documented impact

- [positive / substantiated] Made the 2017 individual tax cuts permanent and raised the child credit and SALT cap. — Permanent individual rates, a permanent $2,000 (temporarily $2,200) child credit, and a $40,000 SALT cap for incomes under $500,000.
- [negative / substantiated] CBO projects ~$3.3 trillion added to deficits over a decade. — Nonpartisan CBO scoring; absent action it could also trigger ~$490B in Medicare PAYGO cuts (2027–2034).
- [negative / projected] Projected to cut Medicaid spending ~$1T and increase the uninsured by ~17 million by 2034. — CBO estimates ~10.5M lose Medicaid/CHIP and ~17M more uninsured by 2034 due to cuts, work requirements and ACA changes.

## Public opinion

The One Big Beautiful Bill Act

Approve: 32% · Disapprove: 46%

KFF found 64% unfavorable vs. 35% favorable — opposed nearly 2-to-1; support concentrated among MAGA Republicans (72%).

Source: Pew Research Center, Aug 2025

## Sources

- [One Big Beautiful Bill Act (Wikipedia)](https://en.wikipedia.org/wiki/One_Big_Beautiful_Bill_Act)
- [AMA: Medicaid/ACA provisions](https://www.ama-assn.org/health-care-advocacy/federal-advocacy/changes-medicaid-aca-and-other-key-provisions-one-big)
- [FactCheck.org: OBBBA Medicaid cuts](https://www.factcheck.org/2026/05/kennedy-denies-the-one-big-beautiful-bill-acts-spending-cuts-to-medicaid/)

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