The bill, ushered through Congress by Republican leadership and signed by Trump Friday, includes $4.5 trillion in tax cuts, slashes spending on Medicaid, and creates temporary tax deductions for overtime and tipped income. It includes $170 billion for immigrant detention and for new personnel for Immigration and Customs Enforcement.

This act passed in a 218-214 vote mostly along party lines. U.S. Rep. Brian Fitzpatrick, R-Pennsylvania, and U.S. Rep. Thomas Massie, R-Kentucky, were the only two Republicans to vote against the bill.

State officials estimate 310,000 Pennsylvanians will lose Medicaid coverage and anticipate strain at health facilities caused by federal budget cuts.

Healthcare professionals and elected officials expressed concern Monday around Lake County about the impact of the ‘big beautiful bill” on patients who rely on Medicaid for their medical needs.

The reduction in patients who qualify for Medicaid will mean free clinics must fundraise or find other funds to cover costs for care. In addition, some people would lose ACA coverage, causing more people to seek care at free clinics that are already stretched thin.

Potential Medicaid cuts in North Carolina threaten programs like CAP/C, a program to assist medically fragile children, leaving many families to face uncomfortable uncertainty.

The massive bill is guided by spending requests from the White House. It will extend the 2017 Trump tax cuts, while cutting billions of dollars in social program funding. It’s been described as the largest cuts to social welfare programs since at least the 1990s, and according to some experts the most severe in modern history.

Republican Congressman Mark Amodei doesn't view Medicaid changes as cuts, but Nevada hospitals and health care providers say they do.

The Wilson County Help Center fears the worst is yet to come as the country prepares for cuts to Medicaid and SNAP benefits as part of the "big, beautiful bill" that President Donald Trump signed into law last week.