Top Trump ally publicly contradicts him on one of his biggest campaign promises

White House adviser David Sacks acknowledged during his "All-In" podcast over the weekend that the GOP’s "Big, Beautiful Bill" will involve major reductions to Medicaid.

His statement contradicts repeated assurances from President Donald Trump and other Make America Great Again (MAGA) allies that no such cuts would be made.

“This bill cuts $880 billion from Medicaid over a decade," admitted Sacks, who serves as Trump’s point person on Artificial Intelligence and cryptocurrency, in remarks first highlighted by Rolling Stones.

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85 million Americans currently rely on Medicaid for free or low-cost health care. The Republican-backed bill passed the House by a slim margin on Thursday, with a final vote of 215 to 214.

During the podcast, Sacks mentioned that Trump lacked the necessary support in the House to push through deeper cuts. However, host Jason Calacanis countered by pointing out that the president has never hesitated to strong-arm his way into achieving his goals.

On Sunday, Speaker Mike Johnson (R-La.) had denied reports that the bill included any Medicaid cuts. He told CBS News that Republicans were focused on addressing inefficiencies rather than reducing the program’s funding.

The Medicaid reductions in the GOP bill are largely driven by the introduction of new work requirements for eligibility. This policy shift could result in millions of Americans losing access to health coverage.

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According to projections by the nonpartisan Congressional Budget Office, around 10 million people could be dropped from the program by 2034 if the measure is implemented.

The legislation has yet to clear the U.S. Senate, where it is expected to face revisions.

AlterNet reached out to the Speaker's office for comment.