Roughly 11.8 million adults and children will be at risk for losing health insurance if Republicans' domestic policy package becomes a law. The losses won't come all at once. The GOP's “ One Big, Beautiful Bill Act ” makes changes that will whittle away at enrollment through federal health care programs like Medicaid and

Legislation passed by the Senate on Tuesday could affect how people sign up for Medicaid and the insurance marketplaces, and where they can get care.