Critics and health policy experts consider the GOP legislation the largest roll back of health care and food assistance in U.S. history.
2 months ago
President Donald Trump walks on the South Lawn upon arriving at the White House, Saturday, June 21, 2025, in Washington. (AP Photo/Jose Luis Magana)
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On the Fourth of July, President Donald Trump signed his “big, beautiful bill” into law. The legislation includes numerous spending cuts and tax breaks for taxpayers.
About one in five New Jersey residents receive Medicaid assistance. The state is expected to lose about $3.6 billion in Medicaid funding annually. According to New Jersey Department of Human Services Commissioner Sarah Adelman, this will result in:
Adelman said the law will:
Individuals with slightly higher salaries, who were allowed to join Medicaid following the enactment of the Affordable Care Act, will be responsible for a $35 copay for treatment, starting in fall 2028.
Adelman said that 800,000 residents receive assistance through the Supplemental Nutrition Assistance Program, or SNAP, and starting in October 2028, the state will be required to provide an additional $100 million to $300 million because of a new cost-sharing requirement for states, or risk eliminating the entire SNAP program for New Jersey. County governments will need to find an additional $78 million annually because of decreasing federal reimbursements.
The new law also requires more New Jersey residents who receive SNAP benefits to work in order to continue to be enrolled in the program. The bill additionally calls for a reduction in the reimbursement rate paid to hospitals, physicians and other providers who serve Medicaid patients.
The legislation signed into law July 4 increases several tax breaks:
The new law has a “no tax on tips” provision that creates a new deduction up to $25,000 for tipped workers, eliminating what they owe in federal income tax, but tipped workers would still have to pay state and local income tax and payroll taxes.
It also allows workers to deduct up to $12,500 for overtime pay earned. However, the changes are only in effect until the end of 2028.
There will be a $6,000 tax deduction for individuals aged 65 or older with income up to $75,000 — or up to $150,000 for married couples. This deduction is also temporary and set to expire after 2028 unless extended by lawmakers.
According to the nonpartisan Congressional Budget Office, the law is projected to increase the national debt by $3.3 trillion over the next 10 years. The White House states the new law delivers the largest middle- and working-class tax cut in U.S. history.
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