Although the tax cuts for the wealthy take effect in 2025 and 2026, the deep cuts to safety-net programs that slash $1 trillion from Medicaid over the next decade won’t start causing pain until

Senate Parliamentarian Elizabeth MacDonough ruled that a provision in the One Big Beautiful Bill blocking illegal immigrants from receiving Medicaid benefits had to be removed. Senate Republicans are moving the legislation through the upper chamber using the budget reconciliation process,

Vice President JD Vance said cuts to Medicaid and budget impacts in the Senate tax bill don't compare to the importance of ICE spending.

Some Republican lawmakers who supported President Trump's big reconciliation bill now seek changes in effective dates.

Health clinics that serve more than 1.1 million patients up and down the San Joaquin Valley are bracing for the prospect of budget cuts and other fallout in the wake of the passage of President Donald Trump’s “One Big Beautiful Bill” budget act,

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.

The One Big Beautiful Bill Act provides more opportunities for enrollees to fall through the cracks by adding red tape, health experts say.