The data: Most US healthcare providers view the One Big Beautiful Bill Act of 2025 negatively, according to a September 2025 Tebra survey of 436 clinicians.

Catch up quick: President Trump’s megabill, signed into law in July, will cut federal healthcare spending by more than $1 trillion over the next decade.

Medicaid will likely be most affected. Stricter work requirements and more frequent eligibility checks are expected to cause nearly 8 million recipients to lose coverage by 2034, according to CBO estimates. The law also failed to extend the Affordable Care Act’s enhanced tax credits expiring at year-end, which could cause another 4.8 million people to lose coverage, according to the Urban Institute.

Digging into the data: Providers believe that insurance coverage losses will strain the broader healthcare system, per Tebra.

• 68% of clinicians believe the bill harms vulnerable patients, while only 7% think it protects them.
• 60% of providers believe that Trump’s megabill will complicate their daily operations, with nearly half (46%) predicting that Medicaid work requirement changes will increase their administrative burdens.
• Nearly 80% of providers wish they were asked about how the bill might affect them before it was passed.

Why it matters: Hospitals and health systems aren’t responsible for helping patients maintain their insurance coverage, but they still deal with the repercussions when people lose it.

Health systems will end up providing more uncompensated care for uninsured patients. This results in lost revenues, potentially reduced services, or even facility closures. Meanwhile, individual doctors will have to deal with sicker patients as they skip routine visits and fall off treatment plans due to the high cost of care without insurance. Providers and their staff will also spend more time contacting insurance companies to verify whether patients are still enrolled in their plans.

Recommendations for healthcare providers and insurers: Both stakeholders are at risk of losing business due to Trump’s megabill.

Providers and insurers must proactively support patients through upcoming changes.

• Health systems and medical groups should provide patients with clear educational resources during appointments that explain how upcoming changes may affect them and offer guidance on alternative insurance options to those who might lose coverage.
• Medicaid plans should ensure enrollee contact information is current so they can effectively communicate new work mandates and instructions for enrollment verification.
• Both insurers and providers should consider partnering with a growing crop of digital health companies that help patients enroll and maintain Medicaid coverage.

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