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Healthcare · Issue 1 of 12

The largest healthcare cut in American history

Byron Donalds voted for the largest healthcare cut in American history in order to pay for tax breaks for the ultra wealthy. He’s cut over $700 billion from Medicaid and let critical tax credits expire, causing premiums to skyrocket and millions to lose their insurance entirely.

58%Increase in average monthly net premiums for marketplace enrollees after the ACA tax credits expired

Photo: Gage Skidmore, CC BY-SA 2.0, edited

The facts

Every fact links to its source. Tap a number to jump to the full citation at the bottom of this page.

  1. Byron Donalds voted for the One Big Beautiful Bill Act (OBBBA). 1

  2. The OBBBA was the largest healthcare cut in history. 2

  3. The OBBBA cuts taxes for the rich. 3

  4. The OBBBA would cut Medicaid by more than $800 billion – the largest cut in the program’s history. 4

  5. The OBBBA will lead to 10.3 million people losing coverage under the health safety net program and 7.6 million people going uninsured, according to estimates from the nonpartisan Congressional Budget Office. 5

  6. Byron Donalds supported letting the enhanced premium tax credits for the Affordable Care Act (ACA) expire. 6

  7. As a result of the ACA tax credits expiring, average monthly net premium costs among marketplace enrollees increased by 58 percent—from $113 in 2025 to $178 in 2026. 7

In his own words · On whether people need health insurance

“You can have a health care policy around catastrophic care, but that doesn't really mean you need a full-blown gold-plated health care policy.”
Florida Politics · October 2025

Tell Byron Donalds: hands off our health care.

Keep reading

More of his record

Disaster Relief

Voted against hurricane relief. Twice.

Read the record → Tariffs

$1,700 out of every family's pocket

Read the record → Housing Affordability

Against a bipartisan plan to lower housing costs

Read the record →

Sources

Every claim on this page, with links to the votes, filings and reporting behind it.

  1. Congress.gov, H.R. 1, One Big Beautiful Bill Act, 119th Congress, 2025
  2. Protect Our Care, Over five million Americans lost coverage in the year following Trump-GOP health care cuts, June 22, 2026
  3. Center for American Progress, 7 ways the Big Beautiful Bill cuts taxes for the rich, Nov. 20, 2025
  4. Center on Budget and Policy Priorities, By the numbers: House bill takes health coverage away from millions, June 6, 2025
  5. Politico, CBO: megabill's Medicaid changes, May 13, 2025
  6. Florida Politics, Byron Donalds doubts people need full-blown health insurance, Oct. 20, 2025
  7. Center for American Progress, On the first anniversary of the OBBBA, millions of Americans have been left behind, June 25, 2026