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A new US legislative package aims to cut Medicaid funding by nearly $1 trillion over a decade, potentially affecting 11.8 million Americans' health insurance coverage. Medicaid, a public health insurance program for low-income individuals, was authorized in 1965 and expanded under the Affordable Care Act. The program has grown significantly, with 83.1 million enrolled in June 2024. The tax and spending bill will cap a mechanism states use to increase federal funding for Medicaid, limiting provider taxes and potentially reducing coverage.

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