The H.R. 1 Implementation Factsheet provides a comprehensive overview of the sweeping budget reconciliation bill recently passed by House Republicans, enacting major portions of former President Trump’s agenda. This legislation includes significant changes to programs vital to older adults, caregivers, and people with disabilities—particularly Medicaid and SNAP.

The factsheet summarizes projected funding cuts, eligibility restrictions, and program changes with a detailed implementation timeline, highlighting when key provisions will take effect. Notably, bolded dates within the document correspond with the Date of Enactment, helping readers track when specific provisions will be implemented.

Key findings include a projected $792 billion reduction in federal Medicaid spending, $290 billion in cuts to SNAP (nearly 30%), and an increase of 16 million uninsured individuals by 2034. These represent some of the deepest reductions in healthcare and nutrition assistance programs in U.S. history, disproportionately impacting diverse older adults, low-income families, and immigrant communities.

H.R.1 Implementation Factsheet