The “Big Beautiful Bill," as Trump has called it, includes a $1 trillion reduction in spending over the next decade for Medicaid, the government insurance program for low-income Americans. Trump signed the bill on July 4.

The nonpartisan Congressional Budget Office estimates President Trump's "big, beautiful bill" will add $3 trillion to the deficit.To pay for that, lawmakers made deep cuts to safety net programs, including Medicaid,

President Donald Trump signed the “Big, Beautiful Bill” into law Friday, triggering a countdown to cuts that will impact many Maryland residents in the coming years. Republicans passed the legislation Thursday after Congress pulled two all-nighters to meet Trump’s self-imposed July 4 deadline.