Black Americans + South
With up to $880 billion in cuts recently approved in the House, advocates warn that the threat to Medicaid is greater than ever — and Black families are bracing for what comes next.
Update: Since publication, the House of Representatives has passed the “One Big Beautiful Bill,” which includes up to $880 billion in proposed Medicaid cuts over the next decade. The bill now moves to the Senate for consideration.
In the Deep South, Medicaid isn’t just a support system — it is the system. With many Southern Black families lacking access to employer-sponsored insurance and living in states that long rejected its expansion, the program serves as the only lifeline for thousands with disabilities.
But now, a GOP-led bill is on the table that would cut up to $880 billion from Medicaid. Initially, the proposal — dubbed the “One Big, Beautiful Bill” — failed to advance out of the House. Notably, three Republican lawmakers from the South played a pivotal role in blocking the bill: Rep. Andrew Clyde (Georgia), Rep. Chip Roy (Texas), and Rep. Ralph Norman (South Carolina). Their opposition wasn’t in…