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This audio is auto-generated. Please let us know if you have feedback<\/a>.<\/p>\n Dive Brief:<\/p>\n Republicans\u2019 massive tax and policy law will lead to an additional 10 million uninsured people<\/a> by 2034, according to a final analysis by the Congressional Budget Office.\u00a0 Dive Insight:<\/p>\n The final CBO report comes weeks after President Donald Trump signed the massive tax and policy legislation on July 4.<\/p>\n The law has a significant impact on the healthcare sector, with some of the largest cuts coming from the safety-net insurance program Medicaid.\u00a0<\/p>\n In one of the largest changes to the coverage, some Medicaid beneficiaries will have to report work, volunteer or education hours to stay enrolled. Work requirements are expected to decrease spending by $326 billion, according to the CBO.\u00a0<\/p>\n The law also freezes provider taxes \u2014 or arrangements nearly all states<\/a> use to fund their share of Medicaid funding \u2014 decreasing spending by $191 billion.\u00a0<\/p>\n Additionally, new restrictions on state-directed payments, where states make supplemental payments for services covered in Medicaid managed care contracts, will save $149 billion, according to the CBO\u2019s estimate.\u00a0<\/p>\n The healthcare cuts \u2014 and the increased number of uninsured Americans \u2014 will likely hurt providers\u2019 bottom lines<\/a>, especially rural hospitals and those that rely heavily on Medicaid reimbursement, experts say.\u00a0<\/p>\n Hospital groups frequently slammed the legislation as the bill wound its way through Congress, arguing uninsured patients would likely delay care until they ended up in the emergency room and increase providers\u2019 burden of uncompensated care.\u00a0<\/p>\n
\nThe tally is 1.8 million people less<\/a> than an earlier estimate by the nonpartisan budget scorekeeper published in late June, after the Senate parliamentarian struck down<\/a> a provision of the legislation that would have penalized states that offered Medicaid coverage to undocumented immigrants.\u00a0
\nOverall, the law decreases federal healthcare spending by $1.1 trillion over the next decade, while increasing the nation\u2019s deficit by $3.4 trillion.\u00a0<\/p>\n