The data: Nearly two-thirds of US adults (64%) have an unfavorable view of the House’s One Big Beautiful Bill Act, per KFF polling this week. 1,321 US adults were surveyed earlier this month.

Catch up quick: The House’s version of the tax and budget reconciliation bill that the Senate is currently considering has potentially significant implications for healthcare. Chiefly, nearly 11 million Americans would lose health insurance over the next decade due to proposed changes to Medicaid and the Affordable Care Act (ACA), per an estimate from the Congressional Budget Office.

For instance, one provision in the bill would allow ACA premium tax credits to expire at the end of 2025. This would make marketplace premiums unaffordable for many Americans. Other proposals include implementing national work requirements for Medicaid recipients, while requiring them to verify their eligibility twice a year rather than once. This would result in nearly 8 million members losing coverage.

How Americans feel about the proposals: Many more Democrats (85%) than Republicans (36%) have an unfavorable view of the bill.

But after learning about the potential implications of the bill as it relates to insurance coverage and funding for hospitals, support diminishes across the board.

• 79% view the law unfavorably when told it would decrease funding for local hospitals.
• Similarly, 74% have a negative view after hearing that it would increase the number of people without health insurance by about 10 million.
• Over half of Republicans and MAGA supporters view the bill unfavorably after being told each of the above provisions.
• While most adults (68%) support Medicaid work requirements, about half of those people change their stance after hearing that most people on Medicaid already work or are unable due to being disabled or caring for a loved one.

Our take: If they aren’t already, healthcare marketers ought to be launching blitz campaigns about the bill’s potential ramifications.

For instance, they could put pressure on lawmakers by citing just-released study estimates that the proposed changes to Medicaid may result in ~25,000 preventable deaths annually due to how many patients will lose their physician, forgo needed medications, and put off screenings like mammograms. Marketers should also target people who would be most affected by this law to make them aware of the implications while providing resources to help them prepare.

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