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CBO Analysis: GOP Bill Adds Trillions to Debt, Cuts Health Coverage

A Controversial Economic Proposal Faces Scrutiny as GOP Leaders Seek Adjustments

Amidst heated debates, the Republican-led initiative aimed at implementing President Trump’s domestic policies could significantly increase the national debt by an estimated $2.4 trillion within the next ten years. This projection, released by the nonpartisan Congressional Budget Office (CBO), highlights potential consequences such as the loss of health insurance for millions of Americans.

The bill, which narrowly passed the House, is under scrutiny as it contradicts GOP claims that the deficit impact would be mitigated by spending cuts and economic growth. The CBO’s analysis challenges the notion that the extension of Trump’s 2017 tax cuts would be offset by other fiscal measures.

The CBO plans to release a further analysis to account for economic growth, similar to the approach taken during the initial passage of Trump’s tax cuts. Although economic growth projections slightly reduced the deficit impact, they were not sufficient to eliminate it entirely.

The CBO report arrives at a critical time as the Senate begins its work on the bill, contemplating substantial changes that could alter its final form. The proposal’s cost has drawn attention, with notable figures such as Elon Musk expressing strong opposition, calling it “a disgusting abomination.”

Senate Majority Leader John Thune, R-S.D., responded to Musk’s criticism by emphasizing that the Senate’s modifications to the bill are designed to foster “significant growth.” Thune assured that the changes would entail more substantial cuts than those in the House’s version. “At the end of the day, failure is not an option. We are going to succeed,” Thune stated confidently.

Alongside the extension of Trump’s tax cuts, the bill seeks to fulfill several of Trump’s campaign promises, such as suspending taxes on tips and overtime and revising immigration and energy policies. The CBO identified the tax cut extension as the primary contributor to future deficits.

To fund the plan, the Republican bill proposes reductions in safety net programs, including the Supplemental Nutrition Assistance Program and Medicaid. However, these changes could result in nearly 11 million Americans losing health insurance due to proposed Medicaid alterations, such as new work requirements. States may also face significant administrative costs from enforcing these measures.

There has been criticism of the CBO from the White House and some Republicans, who accuse the agency of partisanship. White House press secretary Karoline Leavitt suggested without evidence that the CBO had become “partisan and political,” despite its director’s previous service in the George W. Bush administration. The CBO’s findings align with other nonpartisan analyses indicating the legislation could substantially increase the deficit.

Senate Opposition to House Provisions

Republican senators anticipate significant revisions to the House-passed bill, with key disagreements over provisions such as:

  • Medicaid: The House bill introduces work requirements for Medicaid recipients, sparking concern among some senators about program cuts. Missouri Sen. Josh Hawley has voiced opposition, writing in The New York Times against Medicaid cuts.
  • State and Local Tax Deduction (SALT): The House’s inclusion of SALT deductions faces resistance in the Senate, where no blue states have Republican senators. Wisconsin Sen. Ron Johnson has expressed opposition to SALT’s inclusion.
  • Clean Energy Tax Credits: The House proposes rolling back clean energy tax credits, a move opposed by some Senate Republicans. A group of senators cautioned against this rollback, highlighting potential economic uncertainties.

With limited margin for dissent, Republicans can afford only three opposing votes, considering no absences. Already, Kentucky Sen. Rand Paul and Wisconsin Sen. Ron Johnson have signaled their opposition, citing deficit concerns.

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