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

One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

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.

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.

Experts are warning that cuts the One Big Beautiful Bill Act makes to Medicaid pose a significant threat to rural hospitals, but hospitals across Virginia are bracing for the impact. Chesapeake Regional Healthcare,

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.

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

The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to reimbursement in 2026.