Santa Clara County officials fear that Republicans’ “big, beautiful bill” will rip a “seismic tear” in the country’s social safety net as they brace for more than $1 billion in lost federal revenues locally over the next few years.

One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

Trump’s new spending bill slashes Medicaid, risking hospital closures and loss of coverage for millions across the U.S.

U.S. House of Representatives Speaker Mike Johnson looks at U.S. President Donald Trump signing the sweeping spending and tax legislation, known as the "One Big Beautiful Bill Act," to mark Independence Day, at the White House in Washington, D.C., U.S., July 4, 2025.

We see this budget for what it is, an extremist road map that takes away what people rely on to survive,” U.S. Rep. Maxwell Frost said at a news conference at the Pan American Behavioral Health

Some of the bill’s changes go into effect later this year, while others won’t start until after the midterms in 2026.

Medicaid is the state's largest health insurer, covering a quarter of Michigan residents. Reform supporters say the changes will eliminate loopholes.

Arizonans will see major changes to Medicaid, tax cuts and food stamps after Trump's Big Beautiful Bill passed. The Gaggle dives into the details.