Santa Clara County officials fear that Republicans’ “big, beautiful bill” will rip a “seismic tear” in the country’s social safety net as they brace for more than $1 billion in lost federal revenues locally over the next few years.

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

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.