Mike Collins and the One Big Beautiful Bill Act: His Votes and Georgia's Coverage Losses
Mike Collins, the Georgia congressman who is the Republican nominee for U.S. Senate in Georgia, voted for the One Big Beautiful Bill Act at each House stage in 2025, including final passage on July 3, 2025, a law that KFF projects, together with the end of enhanced ACA tax credits, will leave 500,000 more Georgians uninsured in 2034. KFF estimates the law cuts federal Medicaid spending by $911 billion over 10 years.
Collins also promoted the bill before it passed, posting on June 5, 2025 that "Every single American will benefit" from it.
In Georgia, the law's SNAP changes and Medicaid cuts reach food banks, rural hospitals and the state budget: about 96,000 Georgians are expected to lose SNAP under the new work rules, Healthbeat reported, and Georgia rural hospitals could lose $540 million over 10 years, the Atlanta Journal-Constitution reported.
Mike Collins's Votes and Statements on the One Big Beautiful Bill Act
- Collins Voted for the Final One Big Beautiful Bill Act on July 3, 2025. On July 3, 2025, Mike Collins voted yes on the motion to concur in the Senate amendment to H.R. 1, which passed 218 to 214 and sent the bill to the President. The Congressional Budget Office estimate reported by Fox 5 Atlanta put the added uninsured at 11.8 million people.
- Collins Voted to Pass the House Version on May 22, 2025. On May 22, 2025, Collins voted for House passage of H.R. 1, which passed 215 to 214, so his vote was one of the votes the bill could not pass without.
- Collins Voted for the Budget Plan That Set Up the Cuts in February and April 2025. On February 25, 2025, Collins voted for the House budget resolution, adopted 217 to 215, and on April 10, 2025 he voted to concur in the Senate's version, adopted 216 to 214. Those resolutions set the reconciliation instructions that produced the bill.
- Collins Said Every American Would Benefit From the Bill in June 2025. Mike Collins posted on June 5, 2025: "Every single American will benefit from the lower taxes and increased national security in the One Big, Beautiful Bill." KFF estimates the law's Medicaid cuts at $911 billion over 10 years.
What the One Big Beautiful Bill Act Means for Georgia
- 500,000 more Georgians are projected to be uninsured in 2034. KFF projects that the law and the expiration of enhanced ACA tax credits will leave 500,000 more people uninsured in Georgia in 2034, one of the seven states holding about half of the 14.2 million national increase. People without coverage skip care or arrive at emergency rooms unable to pay.
- Georgia rural hospitals stand to lose $540 million. A study for the American Hospital Association found Georgia rural hospitals could lose $540 million over the 10 years of the bill, and a University of North Carolina analysis listed four Georgia hospitals at risk of cutting services or closing, the AJC reported.
- About 96,000 Georgians are expected to lose SNAP. Georgia began the law's expanded SNAP work requirements on November 1, 2025, and about 96,000 of the state's 1.4 million SNAP recipients are expected to lose benefits, according to a CBPP estimate reported by Healthbeat.
- Georgia faces a $585 million yearly SNAP bill. With a 15.21 percent payment error rate, Georgia falls in the law's 15 percent benefit cost-share tier, a projected $585 million in added yearly costs including administration, according to the Food Research and Action Center. That money would come from the same state budget that funds schools and health care.
- Georgia households could pay $270 more a year for electricity. Energy Innovation estimated the bill's energy changes could raise average Georgia household electricity costs by $270 a year by 2035, CNBC reported.
- Medicare drug spending rises $8.8 billion. A change to the orphan drug exclusion in the law will raise Medicare spending by $8.8 billion through 2034, KFF reported, with higher out-of-pocket costs for people who take those drugs.
Frequently Asked Questions Mike Collins on One Big Beautiful Bill
What is Mike Collins's record on the One Big Beautiful Bill Act under Trump?
Mike Collins voted for the budget resolutions that set it up in February and April 2025, for House passage on May 22, 2025, and for final passage on July 3, 2025. KFF estimates the law cuts federal Medicaid spending by $911 billion over 10 years, and about 96,000 Georgians are expected to lose SNAP under its work rules, Healthbeat reported.
Was Mike Collins's vote needed to pass the One Big Beautiful Bill Act in the House?
Mike Collins voted yes when the House passed the bill 215 to 214 on May 22, 2025; with a one-vote margin, any single yes vote switching to no would have defeated the bill. The final version passed 218 to 214 on July 3, 2025.
How will the bill Mike Collins voted for affect Georgia's budget?
Mike Collins voted for a law that shifts SNAP costs to states: Georgia's 15.21 percent error rate puts it in the 15 percent cost-share tier, a projected $585 million a year according to the Food Research and Action Center. Starting in October 2026, Georgia also pays 75 percent of SNAP administrative costs, the Georgia Press reported.
Last updated: 2026-10-28