One, Big, Beautiful Bill: Takes away billions of dollars from Medicare and Medicaid

Becky Khayum

22 May 2025 — 7 min read

We help people living with different types of dementia and their caregivers understand how government decisions affect their care, support, and daily lives using plain language. Our mission is to give families the knowledge and tools they need to stay informed and to take action.

One, Big, Beautiful Bill (budget bill) Updates:

One, Big, Beautiful Bill takes away billions of dollars from Medicare

One, Big, Beautiful Bill takes away billions of dollars from Medicaid

Medicaid Access: New work requirements that will impact caregivers

Additional New Medicaid requirements

Medicaid cuts: Impact on nursing home care

For additional information about how Medicaid supports families coping with dementia, click here:

Dementia Policy Project: Impact of Medicaid Cuts on families coping with dementia

We help people with different types of dementia and their caregivers understand how government decisions affect their care, support, and daily lives using plain language. Our mission is to give families the knowledge and tools they need to stay informed and to take action. House approves Budget Bill: Takes away

Dementia Policy ProjectBecky Khayum

Why are billions of dollars being taken away from Medicare and Medicaid in the One, Big, Beautiful Bill?

Cuts to Medicare and Medicaid funding are paying for the tax cuts in the budget

Budget Bill impacts Americans' incomes

How to contact your Senators and House Representatives:

You can email or call your representative at congress.gov by clicking here:
https://www.congress.gov/members/find-your-member

How to find your representative:
- Type in your address.
- The website will show a list of your Senators and House representatives.
- It will list your representative's phone number and website link.

You can also call: 202-224-3121. You will enter your Zip Code. They will connect you with your representative's office.

Templates for contacting your Senators:

It is important to contact your Senators if you are concerned about the Medicare and Medicaid cuts in the budget bill. They will be reviewing and voting on the budget bill later this year.

You can read from these templates when you call your representatives.

You can also copy and paste these templates into an email message for your representatives.

Senator: Template for person living with the diagnosis:

Dear Senator [Representative's Name],

My name is [Your Name], and I have been diagnosed with ________. I live in your state. My address is:

Please don't vote to take money away from Medicare and Medicaid in the One, Big, Beautiful Bill Act.

Every day is difficult for me.

**Share your story and your daily challenges.

Medicare helps me get the medical care I need to stay healthy.
Please do not vote to cut Medicare benefits.
I depend on Medicare to see my doctors and get my medicine.

I depend on Medicaid to get the care I need. Medical care, caregiving at home, groceries, and nursing homes are very expensive. I don't have enough in savings to cover these costs myself.

OR:

I may need help from Medicaid in the future. Medical care, caregiving at home, groceries, and nursing homes are very expensive. I may not have enough in savings to cover these costs myself.

Please don’t vote to take money away from Medicare and Medicaid in the budget bill. Losing it would hurt me and many others like me. Thank you for listening and for helping people with dementia.

Sincerely,
[Your Full Name]

Senator: Template for caregivers:

Dear Senator [Representative's Name],

My name is [ ____]. I am a voter in your state. My address is: [ ______].

Please don't vote to cut Medicare and Medicaid benefits in the One, Big, Beautiful Bill.

I care for my spouse, who has been diagnosed with ________. Every day is a challenge — emotionally, physically, and financially.

**Share your story and your daily challenges.

Please do not vote to cut Medicare benefits in the budget bill. My family member relies on Medicare every day. Medicare helps cover doctor visits, medications, and treatments that keep them stable and safe. Without Medicare, we couldn't afford the care they need to live with dignity.

Please don't vote to take money away from Medicaid. Medicaid is a lifeline for us, helping cover care we could never afford on our own. Medical care, caregiving at home, groceries, and nursing homes are very expensive. Cutting it would make our situation even harder and put my family member with dementia at serious risk.

OR:

Please don't vote to take money away from Medicaid. We may need help from Medicaid in the future. Medical care, caregiving at home, groceries, and nursing homes are very expensive. We may not have enough savings to cover these many costs. Cutting it could make our situation even harder and put my family member with dementia at serious risk.

Please, don’t vote to take money away from Medicare and Medicaid in the budget bill. Families like mine are counting on your support.

Sincerely,
[Your Name]

Templates for contacting your House Representative:

You may be disappointed that the House voted to pass the budget bill that takes away billions of dollars away from Medicare and Medicaid. Here are templates to contact your House Representative:

House Rep: Template for people living with the diagnosis:

I have been diagnosed with _______. I was very disappointed to see the House vote for the One, Big, Beautiful Bill. This bill takes away billions of dollars from Medicare and Medicaid, which people like me depend on every day. I need Medicare to see my doctors and get the care that helps me live as well as I can.
Cuts to these programs make life harder for people who are already struggling.
Please stand up for people like me and protect Medicare and Medicaid.

House Rep: Template for Caregivers:

I am a caregiver for my family member who has been diagnosed with ______. I am deeply disappointed that the House voted to pass the One, Big, Beautiful Bill. This bill takes away billions of dollars from Medicare and Medicaid, which are essential for my family member's care. We rely on these programs for doctor visits, medications, and support services. Cutting these funds puts their health and well-being in serious danger. Please stand up for people with dementia and do not support any more cuts.