One Big Beautiful Bill has 35% approval rating: KFF poll

Modern Healthcare – Tuesday, June 17, 2025
By Hayley DeSilva

Nearly two-thirds of the public view President Donald Trump’s “One Big Beautiful Bill” unfavorably, according to a KFF Health Tracking poll released Tuesday.

The poll was conducted online and by phone from June 4 to June 8, surveying 1,321 adults who identified as either a Democrat, an independent, a “Make America Great Again” Republican, or a non-MAGA Republican.

The controversial House bill calls for cutting more than $1 trillion from Medicaid and other healthcare programs. On Monday, Senate Republicans released their own version of the bill, which includes deeper cuts to Medicaid. Trump has pushed for a bill to be passed by July 4.

Here are three takeaways from the survey.

Many bill supporters changed their mind once cuts were explained

Of those who viewed the House bill favorably, 72% were MAGA Republicans, while 66% of Republicans and Republican-leaning independents opposed the bill.

MAGA support dropped by more than 20 percentage points after survey respondents were told about cuts to local hospital funding and that an estimated 10 million people would be without health insurance.

ACA support hits a new high

Support for the Affordable Care Act has been growing since 2017, during Trump’s first term, when Congressional Republicans attempted to repeal the law.

The survey found that 66% of people the healthcare law favorably, the highest level of support received in a KFF poll since the law was enacted in 2010.

The level of support changes depending on political leanings — 63% of Republicans oppose it while 94% of Democrats and 71% of independents support it.

The Medicaid program was viewed favorably by 83% of those surveyed, compared with 77% in January.

Most support Medicaid work requirements, until care access comes into play

Two-thirds of participants said they supported work requirements for Medicaid, including 88% of Republicans, 93% of MAGA Republicans and 51% of Democrats..

When participants were told that most adults with Medicaid are working or unable to work and could lose coverage due to challenges with filing the necessary paperwork to prove they are employed, half of survey respondents changed their views and 64% opposed work requirements.

Overall support for work requirements increased to 79% when opponents were told that money saved could be used to fund Medicaid benefits for the elderly, people with disabilities and children in low-income households.

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