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.

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.

Missouri U.S. Josh Hawley has filed a bill to stop future reductions of Medicaid. The legislation comes just two weeks after he voted in favor of U.S. President Donald Trump's spending bill, which is expected to cut billions from Medicaid.

Two weeks after the Missouri Republican voted for the megabill with sweeping Medicaid cuts, the GOP senator unveiled a bill to undo what he did.