Millions will lose Medicaid coverage, hospitals’ uncompensated work will increase and insurers will lose big business.

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.