This analysis from Cover Georgia partner Georgia Budget and Policy Institute (GBPI) explains how H.R. 1, signed into law on July 4, 2025, drastically reduces federal Medicaid funding, threatening health care access for roughly 2 million Georgians. The cuts could force hospitals—particularly rural and safety-net providers—to close or scale back services, while the state faces billions in lost federal dollars. Additional provisions increase barriers for low-income residents, including stricter work requirements, limits on benefits, and exclusions for some lawfully residing immigrants. These changes put Georgia’s health system and vulnerable populations at serious risk, highlighting the urgent need for awareness and policy action.