Greg Murphy and the One Big Beautiful Bill Act: Seven Decisive Roll Calls, the Final-Passage Vote, and $22.5 Billion Less Medicaid Money for North Carolina

Greg Murphy, who holds North Carolina's 3rd District seat, voted for a law that removes $22.5 billion of federal Medicaid support from his state within a decade. The House first passed it 215 to 214 on May 22, 2025, so his yes was indispensable. He said yes again on July 3, 2025. The bill became law the next day.

Both 2025 budget resolutions hinged on Murphy's vote. Together they told Medicaid's committee to find $880 billion and SNAP's to find $230 billion. Two July 2025 procedural votes that opened debate on the final bill also turned on him. A year after the budget fight, he voted for a House resolution celebrating the law. By 2034, 300,000 more North Carolinians will lack insurance, KFF projects.

Greg Murphy's Votes on the One Big Beautiful Bill Act, From Budget Plan to Final Law

• February 2025: Murphy's Vote Decided the Budget That Set an $880 Billion Savings Target for Medicaid's Committee. Greg Murphy cast three February 25, 2025 votes to advance the House budget plan. First came the previous question on H.Res. 161, its rule, carried 216 to 210. Next, the rule itself, 217 to 211. Last, H.Con.Res. 14, adopted 217 to 215. Had he switched on that final roll call, it would have tied, and a tie fails. Under the resolution, Energy and Commerce, Medicaid's committee, had to "reduce the deficit by not less than $880,000,000,000". Agriculture, SNAP's committee, owed at least $230 billion. Ways and Means got room to push deficits up by $4.5 trillion.
• April 2025: Murphy Decided Both the Rule and the Final Budget Resolution. Murphy's April 9, 2025 votes took up the Senate-amended budget. H.Res. 313's previous question passed 217 to 212 with his yes. He voted for the rule, which won 216 to 215. A day later he voted to concur, and the resolution was adopted 216 to 214. On the rule and on concurrence, a flip by him alone would have changed the outcome. Senate changes left the House committees' targets in place. The final law, passed July 3, 2025 with Murphy's yes, carries Medicaid cuts of $911 billion by the Congressional Budget Office's count, according to KFF.
• May 2025: The House Bill Cleared by One Vote, and Murphy Supplied a Yes. Murphy cast six H.R. 1 votes on May 22, 2025. Two were on taking up the rule, H.Res. 436: 217 to 211, then 216 to 211. One ordered the previous question, 213 to 211. One adopted the rule, 217 to 212. A motion to recommit failed 212 to 216, with Murphy voting against it. On passage, the count was 215 to 214, plus one present. A switch by him would have tied the previous question, and a tie fails; on passage, his switch would have defeated the bill, 214 to 215. The Senate later rewrote the bill. As enacted, its Medicaid sections alone add 7.5 million uninsured people in 2034, per the Congressional Budget Office figures that KFF cites. Planned Parenthood's Medicaid payments were also halted for a "1-year period".
• July 2025: Two Procedural Votes Turned on Murphy, Then He Voted for Final Passage. Taking up the Senate's version required a rule, H.Res. 566. On July 2, 2025, the question of consideration passed 212 to 211 and the previous question passed 214 to 212. Murphy voted yes on both, and both needed him. He also voted for the Foxx amendment, 220 to 212. On July 3, he voted for the amended rule, 219 to 213, and the motion to concur, which was final passage, 218 to 214. The president's signature on July 4, 2025 made it Public Law 119-21. KFF, citing the Congressional Budget Office, puts the result at 10 million more uninsured people in 2034. "The megabill cuts SNAP by $187 billion or about 20 percent by 2034," CBPP calculated.
• April 2026: Murphy Joined a 219-Vote Majority Hailing the Law. Murphy voted aye as H.Res. 1156 passed 219 to 207 on April 16, 2026. The resolution brands the law the "Working Families Tax Cuts." It claims the law "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." ITEP's analysis says "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase" in 2026. The top 1 percent average a cut of more than $70,000.

The Toll on North Carolina, Issue by Issue, of the Law Greg Murphy Voted For

• A third of North Carolina's 3rd District is on the Medicaid program the law shrinks. KFF's 2025 district data show 266,600 Medicaid enrollees in North Carolina's 3rd District, 34% of its people. Federal Medicaid dollars to the state fall $22.5 billion over the decade, or 11%. The votes behind that cut are on Murphy's health care page.
• $3.44 billion a year in North Carolina hospital funding sits over the law's caps. KFF estimates that $3.44 billion in yearly federal hospital spending in North Carolina is over the law's new caps. Rural areas of the state give up $6.37 billion in a decade. Hospital effects are on Greg Murphy's health care page too.
• The Medicaid cuts could cost North Carolina up to 30,000 jobs. A Commonwealth Fund worst-case analysis, reported by WRAL, links as many as 30,000 North Carolina layoffs to the Medicaid cuts. Hospitals and clinics would shed many of those jobs.
• North Carolina's SNAP rolls are down more than 110,000, and counties pay new costs. Since September 2025, SNAP has lost more than 110,000 North Carolina participants, NC Health News found. Counties carry roughly $52 million in added program costs in the first year. Greg Murphy's food assistance page covers his votes.
• Homeless North Carolinians and former foster youth lost their SNAP exemption. Homelessness, veteran status and aging out of foster care no longer exempt North Carolinians from SNAP's time limit, the state health department says. More is on Murphy's poverty and homelessness page.
• 47,000 North Carolina veterans live in SNAP households, and the law ended veterans' time-limit exemption. CBPP counted 47,000 North Carolina veterans in SNAP households, on average, from 2021 to 2023. The law took away veterans' time-limit exemption. Murphy's veterans page has the details.
• 2.2 million North Carolinians on Medicare face an earlier hospital fund shortfall. The state's Medicare rolls held 2,228,458 people in 2024. Its hospital insurance fund is still projected to run dry in 2033, but one quarter earlier, primarily because of the law, and some lawfully present immigrants lose Medicare altogether. Both are on Murphy's Medicare page.
• 60% of North Carolina's nursing-home residents count on Medicaid first. Medicaid is the first payer for 60% of North Carolina's 35,329 certified nursing-facility residents. The law delays the federal staffing standard to 2034. Greg Murphy's elder care page explains.
• 34,400 people with disabilities in North Carolina's 3rd District count on Medicaid. Among Medicaid enrollees in North Carolina's 3rd District, 34,400 have disabilities, KFF counts. Starting by January 1, 2027, disabled adults in the expansion group who qualify for no exemption must report hours. See Murphy's disability rights page.
• 31,882 North Carolina Medicaid adults had opioid use disorder. In 2021, 31,882 North Carolina Medicaid adults carried an opioid use disorder diagnosis; 16,568 received medication for it. Nationally, Medicaid covers more than half of the people receiving that medication. The work rule's limits are on Greg Murphy's mental health and addiction page.
• Low pay keeps 37% of the 3rd District's children from the full child tax credit. About 56,000 children in North Carolina's 3rd District cannot get the whole credit because of low parental earnings, Columbia researchers estimate. See Murphy's child care and families page.
• Social Security reaches 187,641 people in North Carolina's 3rd District, and the law weakens it. In December 2024, 187,641 residents of North Carolina's 3rd District drew Social Security. Over 2025 through 2034, the law raises program costs by $168.6 billion, the chief actuary found. Greg Murphy's Social Security page has more.
• Leaving SAVE costs North Carolina borrowers $1,767 a year. Shifting from SAVE to the law's repayment plan raises a North Carolina borrower's bill by $1,767 a year on average, Center for American Progress data show. Murphy's student debt page has the votes.
• The top tenth gains $13,600 a year while 300,000 more North Carolinians lose coverage. Households in the top tenth collect about $13,600 a year from the law, Thomson Reuters reported from Congressional Budget Office figures. North Carolina's uninsured count rises by 300,000 in 2034, per KFF. Murphy's taxes and deficit page covers the tax votes.
• By Energy Innovation's estimate, North Carolina homes and cars could cost about $490 more a year to power by 2035. An Energy Innovation projection, reported by CNBC, finds the average North Carolina household's yearly energy spending could rise roughly $490 by 2035 from the law's energy changes.

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Last updated: 2026-10-27

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