Aug. 18, 2026, 5:00 a.m. ET
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Washington
About a year ago, the White House touted its One Big Beautiful Bill Act as the “biggest legislative win” of President Donald Trump’s second term.
The bill, commonly referred to as the OBBBA, which primarily combined an extension of the 2017 tax cuts and some new tax breaks with cuts to programs such as Medicaid and food stamps, is the most significant piece of legislation this administration has passed. As recently as June, a news release by Republican House Minority Whip Tom Emmer of Minnesota touted the bill as “the single-greatest victory for working families in history!”
The bill figures to play a key role in this fall’s pivotal contest to control Congress. But even some Republicans say what should have been the party’s major accomplishment is looking more like a liability ahead of November’s midterms. With Democrats predicted to win a majority in the House and possibly in the Senate, voters are hearing two very different descriptions of the legislation that’s affected millions of Americans. Democrats are hammering the healthcare cuts on the campaign trail. Republicans focus on the tax relief.
Political parties usually tout major legislative wins as reasons why voters should stick with them at election time. This year, Republicans are fielding public skepticism about President Trump’s signature bill, and Democrats are using it to craft their own message.
Even there, the GOP might be losing the messaging war, as Democrats have been highlighting that the tax cuts were larger for high-income than for low-income households. Jay Townsend, a Republican consultant who worked in four presidential campaigns but is not involved in any midterm campaigns this cycle, hears people saying that the bill’s tax cuts “‘did not help me, it helped rich people.’”
Many of the bill’s most controversial provisions – such as work requirements for people receiving Medicaid – won’t go into effect until after the midterms. Democrats accused Republicans of delaying those changes to avoid the political fallout.
But there are signs that some of that political fallout is already happening. A Politico survey in July found that nearly 1 in 3 Americans say the law has made their financial situation worse, and a poll from the same month by the left-leaning Navigator Research found that nearly half say it is making their costs go up. The law is estimated to reduce federal Medicaid spending over the next decade by nearly $1 trillion, and a handful of rural clinics have already shut down, citing future cuts. Democrats say those closures, alongside spiking healthcare premiums, have given their candidates a strong issue to use against Republicans on the campaign trail.
“From what I can tell, nearly every Democratic challenger is using the [healthcare] cuts against Republican incumbents, and in most cases with significant effect,” says Geoff Garin, the president of Hart Research, a Democratic research and polling organization. “There’s very little [Republicans] can do at this point to mitigate the damage.”
Republicans passed the bill in July 2025 without Democratic support. It extended tax cuts passed during Mr. Trump’s first term in 2017, and added temporary tax deductions for groups such as seniors and workers receiving tips. Republicans such as Sen. Chuck Grassley of Iowa called it a “recipe for economic success.”
On the campaign trail, many Republicans are touting the bill’s benefits – labeling Democrats as the party that rejected tax cuts. Sometimes, the candidates point to the bill; sometimes, to specific provisions within it. Rep. Darin LaHood of Illinois recently mentioned a barber who is benefiting from tax relief on tips – but he also credited the “tax bill” broadly with helping businesses across his district.
“The Republican Party has a very clear difference for America, and that is: Always lower taxes, always American workers first,” Rep. Brian Mast of Florida told CNBC earlier this month.
But even as Republicans paint them as would-be tax hikers, Democrats have fastened on to a different part of the bill: changes made to Medicaid and the Supplemental Nutrition Assistance Program, or SNAP. The OBBBA set new work requirements for people to receive Medicaid, cut federal help for states that expanded the program, and ended eligibility for some legal immigrants. Meanwhile, SNAP enrollment dropped by 11% between July 2025 and April 2026 after the law narrowed exemptions and raised the work requirement age.
Americans can expect to see a lot of ads about the Medicaid cuts leading up to the midterms, says Mr. Garin.
“Medicaid? Gutted,” says a May video ad run by Democratic Rep. Greg Landsman of Ohio against his opponent Eric Conroy, who is not a member of Congress but has expressed support for the OBBBA.