The bill, ushered through Congress by Republican leadership and signed by Trump Friday, includes $4.5 trillion in tax cuts, slashes spending on Medicaid, and creates temporary tax deductions for overtime and tipped income. It includes $170 billion for immigrant detention and for new personnel for Immigration and Customs Enforcement.

Ascension Saint Thomas President Fahad Tahir worries that Medicaid cuts enacted by President Donal will harm health care.

State officials estimate 310,000 Pennsylvanians will lose Medicaid coverage and anticipate strain at health facilities caused by federal budget cuts.

Florida did not expand Medicaid as most states did, so the impact may be lesser than other places, but reductions loom.

Officials warn that sweeping federal cuts to Medicaid, food aid and clean energy programs could unravel key safety nets across the state.

Experts and advocates warn that it could have dire consequences for Alabama’s tenuous rural healthcare situation.

Exactly how cuts to public assistance programs in President Donald Trump’s “One Big Beautiful Bill” will affect Minnesota is yet to be seen, though by one estimate, up to a quarter-million people in the state could lose Medicaid coverage over the next decade.

As Republicans face criticism for slashing Medicaid, Hawley tried to shift the focus to a less-noticed part of the law that will benefit victims of nuclear waste.