It also takes aim at Medicaid, the federal and state health program that covered 78.6 million low-income children and adults as of March 2025, according to the Centers for Medicare & Medicaid Services.

C ongress has passed President Donald Trump's "big, beautiful bill," handing the administration a major legislative victory, but both sides of the aisle have been sending mixed me

Some expire at the end of Trump's term in office. Here is a look at when you'll start to see the impact of the bill: Though Trump campaigned on protecting Medicaid, the program that provides health care for low-income and elderly Americans is one of the largest federal programs targeted in the bill.

Broadly, the law makes Trump’s 2017 tax cuts permanent, extending current income-tax rates. It also adds some new breaks while making cuts to federal healthcare coverage, food-aid and student loan programs.