After a marathon series of votes in both the United States Senate on Monday, followed by a few days of debates, backroom deals, and campaigning by Donald Trump himself, the administration’s massive agenda legislation, known as the ‘One Big Beautiful Bill,” has passed the house and is now headed to Trump’s desk to be signed in to law.
Democrats, Independents, and a small selection of Republicans have gone on record to speak out against the bill, well before Trump was elected into office last November when many of the contents were pitched as a part of Project 2025.
One of the biggest programs the bill will impact is Medicaid. For the next decade, federal spending will be cut on Medicaid and the Children’s Health Insurance Program (CHIP) for low-income infants and children by more than $1 trillion, which is an 18 percent larger cut than the House-approved version, according to Georgetown University’s McCourt School of Public Policy.
The Senate’s version of the legislation package, like the House’s, will impose a strict 80-hours-a-month work requirement for adults without children or disabilities, and will be completely implemented by December 2026. Three million Americans enrolled in Medicaid who are unemployed or unable to work due to caregiving responsibilities are set to be affected, according to various reports and an AARP analysis
Through a provision approved by the Senate parliamentarian, Planned Parenthood and other reproductive health care clinics will be prevented from receiving Medicaid reimbursements for the provision of non-abortion care.
Parents with children over the age of 14 will also be required to work in order to receive the Supplemental Nutrition Assistance Program (SNAP), down from age 18 and up from the House’s version of age 6. Other exemptions added or maintained include disabled and pregnant people.
More than 670,000 North Carolinians have enrolled in Medicaid since the state expanded access to the government-funded health insurance program in December 2023. As of June 2025, nearly 1.4 million North Carolinians and 577,000 South Carolinians rely on the SNAP program.
Ahead of the passage of the bill, North Carolina Governor Josh Stein warned that the agenda bill could increase electricity rates by 18 percent in the state. Michael Thomas, who runs the national tracking company Clean View, said the bill could spike electricity costs across the country due to provisions that eliminate tax credits for new green energy projects.”There’s no doubt this bill is going to increase electricity prices all over the country,” Thomas said, speaking to news outlet WFMY. “In states like North Carolina, folks can expect their bills to go up about 18 percent.”
A provision that would have prohibited Medicaid from covering gender-affirming care for transgender people, both minors and adults, previously existed in the original edition of the bill, but was stripped out by the Senate parliamentarian.
QNotes will report on further developments regarding the bill as news continues to break.