House Republicans over those months conceived, drafted, debated, and passed the One Big Beautiful Bill Act, a single piece of legislation intended to enact the party’s traditional agenda of lower social spending for the poor and lower taxes for the rich. The bill would drive nearly 8 million people off the Medicaid rolls over the next decade, the Congressional Budget Office found. 

Senate Republicans are writing their own version of the legislation — and are seeking even steeper Medicaid cuts. Such cuts could devastate the financial viability of rural hospitals, forcing them to close their doors, and along with other health cuts in the House bill would result in more than 11,000 medically preventable deaths annually, analyses show. 

The contents of the GOP tax bill — and in particular its cuts to Medicaid — are horrifically unpopular among those who are aware of them. But many are not, and Fox is doing what it can to keep it that way as Congress tries to ram through the legislation in time to meet Trump’s July 4 timeline for signing it. While Fox personalities have at times defended or downplayed the bill’s proposed Medicaid cuts, our data shows that the network is largely trying to avoid discussing them altogether.

By contrast, we found that CNN mentioned “Medicaid” 2,825 times and MSNBC mentioned it 4,445 times during the same period. While the ratio of Biden to Medicaid mentions was 10-to-1 on Fox, it was 10–to–4 for CNN (with 6,688 raw mentions of “Biden”) and 10–to–8 for MSNBC (5,283). This is not to say that Medicaid coverage on CNN or MSNBC has been sufficient, but to demonstrate the extent to which it is absent on Fox.

Indeed, Fox mentioned Medicaid only slightly more frequently than it mentioned the word “trans,” referenced 1,048 times over the period of the study. The network’s right-wing personalities frequently single out trans people for hate and cheer Republican efforts to marginalize them. 

The OBBB’s Medicaid provisions aren’t the only aspect of the legislation that Fox doesn’t want to talk about. The CBO found that the House bill’s tax cuts for the rich are so large that it would increase federal deficits by $2.4 trillion over 10 years even after accounting for the  cuts it makes to the social safety net. But our review found that Fox is mentioning “deficit” even less frequently than “Medicaid,” with only 1,051 references. That means Fox has mentioned “deficit” about once for every 13 times it mentioned “Biden.”

Media Matters searched transcripts in the Kinetiq video database for all original programming on CNN, Fox News Channel, and MSNBC for any of the terms “Biden,” “deficit,” “Medicaid,” or “trans” from January 20, 2025, when President Trump was inaugurated, through June 21, 2025. We considered each instance of each term as a single mention.