Millions will lose Medicaid coverage, hospitals’ uncompensated work will increase and insurers will lose big business.

U.S. House of Representatives Speaker Mike Johnson looks at U.S. President Donald Trump signing the sweeping spending and tax legislation, known as the "One Big Beautiful Bill Act," to mark Independence Day, at the White House in Washington, D.C., U.S., July 4, 2025.

Employers should expect to see hikes to their healthcare costs as a result of upcoming cuts to Medicaid outlined in the Trump administration's One Big Beautiful Bill, passed into law at the start of July. Preparing for the ripple effects now can help benefit leaders reduce the connected negative impact on their workforce.