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.

New York is on track to lose out on $750 million in Medicaid funding this year thanks to the federal budget cuts agreed to in Washington last week. State officials also expect to see at least $3 billion in federal funding disappear in the next fiscal year.

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

The Connecticut Department of Social Services (DSS) is bracing for the potential loss of hundreds of millions of dollars as a result of the

As the burden for Medicaid changes shift to the states, the states will have to make very difficult decisions.

TEXAS, USA — President Donald Trump calls the tax and spending bill he signed into law on July 4 “One Big Beautiful Bill.” Just before the vote, Congressman Keith Self, R-3rd District, called it a “broken bill.” But the next day, he voted for it. And the Collin County Republican now says there is beauty and beast all in one bill.

Republican Derrick Van Orden is urging Evers to move quickly to boost Medicaid tax before the Trump spending bill he champions ties the state's hands.

NPR's Michel Martin speaks with Adrianna McIntyre, assistant professor of health policy and politics at Harvard, about how the GOP spending bill before the Senate would impact Medicaid.