One Year into H.R. 1: Funding for Health Care and Nutrition Programs Slashed While Immigration Enforcement Balloons, Harming Millions
This statement can be attributed to Wendy Chun-Hoon, president and executive director of the Center for Law and Social Policy (CLASP)
Washington, D.C., July 2, 2026–July 4th will mark one year since Congress passed and Donald Trump signed into law the Budget Reconciliation Act of 2025. Also known as H.R.1, the bill included the largest cuts to Medicaid and SNAP in the programs’ histories and prioritized funding to separate immigrant families and give tax breaks to the wealthy. As families continue to deal with the rising costs of living, they are now also left without health care and food assistance.
H.R.1 slashed nearly a trillion dollars from Medicaid and Affordable Care Act Marketplace tax credits. More than 1 million people have dropped Marketplace coverage and more than 10 million are projected to lose Medicaid coverage over the next decade. The bill’s impact on food assistance is already being felt, as SNAP participation has declined in every state since H.R.1 became law. Based on the latest available data, SNAP participation has fallen by more than 4 million people, or roughly 10 percent; and in the 12 states with available child-level data, more than 700,000 children have lost SNAP food assistance–all because the majority in Congress and the administration prioritized billionaires over families. We expect these harms to grow as states fully implement new eligibility restrictions and other measures in response to future state cost-sharing requirements.
These numbers do not reflect a decline in hunger or reduction in poverty. They represent millions of families who continue to struggle with medical bills, rising food costs, and economic hardship but are now being pushed out of the very programs designed to help them. And people who are technically eligible to keep Medicaid or food assistance will face significant new paperwork barriers, including more frequent Medicaid renewals that will make it harder to access the benefits they qualify for.
H.R.1 provided $170.7 billion in additional funding for immigration enforcement to the Department of Homeland Security (DHS) and carved out lawfully present immigrants from basic needs programs. This historic ballooning of immigration enforcement funding has turbocharged family separations and child and family detention, threatening child safety and well-being. An estimated 205,000 children,145,000 of whom are U.S. citizens, have experienced having a parent in detention. To make matters worse, these U.S. citizen children are also likely among those who are now losing access to the Child Tax Credit, at a time when they and their families are in most need of support. These changes will increase child poverty; and, building on the exclusions from the 2017 tax reforms that excluded eligibility for children without a Social Security number, affect nearly 4 million children. Moreover, the high level of disenrollment in SNAP and Medicaid is in part due to H.R.1’s exclusion of lawfully present immigrants, such as asylum seekers and refugees, as well as the chilling effect on people whose children are likely eligible but are disenrolling because they are concerned about their participation being used against them in immigration proceedings.
The DHS funding granted through H.R.1 is enabling immigration actions that are actively endangering our nation’s children. At least 79 children have been tear gassed or pepper sprayed and over 6,200 children have seen the inside of an immigration detention camp, where they experienced disruptions to their education, poor nutrition, and delayed medical care. The fear and uncertainty is affecting not only the children directly impacted by these policies, but also their classmates, teachers, and neighbors. The harms of H.R.1 will reverberate for generations.
Policymakers should invest in policies that support family unity and actually center community well-being, such as community-led food systems that keep families fed, regardless of political shifts. Congress must rescind the harm caused by H.R.1 and restore access to health coverage, food assistance, and economic supports. Repairing this harm will require that Congress moves away from policies rooted in suspicion, punishment, and unsupported fraud narratives and instead advance policies grounded in evidence, dignity, and the realities families face.