U.S. Rep. Michael Baumgartner, a Washington Republican who represents the eastern quarter of the state including Spokane, praised the Big Beautiful Bill in a July 3 news release, citing its support for small businesses and border security. He also noted it locks in Trump tax cuts from 2017.

The new federal budget law, the One Big Beautiful Bill Act (the Act), enacted on July 4, 2025, makes dramatic changes to the Medicaid program. Health care providers, plans, patients, and other stakeholders that work with Medicaid populations should prepare for these changes.

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.

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 was signed into law on Independence Day. The sweeping legislation has massive implications on everything from taxes and social welfare programs to environmental policy and immigration enforcement.

When Michelle Lawrence heard about Medicaid cuts in the Republican tax and spending bill, it felt like “a punch to the gut.”

During a tele-townhall on Monday, Sen. Ron Johnson (R-WI) was asked about Medicaid cuts in the Big Beautiful Bill.