Karl Rove on Big Beautiful Bill

Karl Rove views the Big Beautiful Bill, a sweeping federal spending package featuring major Medicaid reforms, as having a significant political impact, specifically defining the landscape for the 2026 midterm elections. The longtime GOP strategist praised the bill for including substantive policy and a strategic political opportunity, particularly highlighting the proposed reforms to Medicaid such as adding an 80-hour-per-month work requirement for certain recipients and increasing the frequency of eligibility reviews. Rove framed these changes as a necessary return to the program's original intent, which focused on serving seniors, disabled individuals, and low-income children.

He strongly encouraged Republicans to campaign actively on the legislation's policies, cautioning the party against becoming complacent after its passage, stating that the legislative win is only the first step in a larger strategy. Rove warned that the party could face “deep trouble” in the 2026 midterms if they do not have a forward-looking agenda, stressing that the bill provides a strong foundation to reinforce themes of work and responsibility for voters. The political consequence of the bill was already observed, as one Senator announced he would not seek reelection after breaking with the party over the bill’s Medicaid provisions.