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.

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.

The bill will stress a major funding stream schools rely on, leading to ripple effects that make it harder for schools to offer free meals.

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

Ohio will get a boost in Medicaid funding, but patients could still lose care or face barriers under a new federal law.

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

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.

Trump's One Big Beautiful Bill Act created federal work requirements for Medicaid recipients, which amount to 80 hours a month in community engagement activities to maintain eligibility.

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