For millions of U.S. women, July 4, 2025, wasn’t a day of independence or celebration. Instead, the date marked the beginning of their loss of health care.

On that date, President Donald Trump signed the One Big Beautiful Bill Act into law. The legislation delivered the largest Medicaid cuts in U.S. history and gutted subsidies.

By scaling back Medicaid expansion incentives and reducing financial assistance for marketplace plans, the law made coverage more expensive and harder to access—particularly for low-income people. As costs rise and eligibility pathways narrow, many are expected to switch to less expensive, worse coverage or be pushed out of the insurance market altogether.

The result: An estimated 2.1 million women between the ages of 19 and 49 are expected to lose their Medicaid coverage by 2034—which means preventive care, maternal health services, and treatment for chronic conditions could soon be out of reach.

Nine months later, these cuts have not been felt equally. Black women—already navigating systemic barriers to food access and health care—stand to lose critical support from programs like the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) while facing the brunt of poor outcomes in maternal and sexual health. Here’s how those impacts unfold.

The ‘big, beautiful bill’ restricts programs

Kavelle Christie, a health policy expert and director of the Center for Regulatory Policy and Health Innovation, said the bill’s restrictions on health care “[don’t] just affect the individual; [they] weaken the entire local care system, making it harder for everyone to access [maternal health] services.”

The “big, beautiful bill” slashed funding from SNAP and WIC, which provide critical nutrition assistance to low-income families across the United........

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