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.

A reduction in the provider tax that funds the state share of Medicaid expansion could spell trouble for hospitals that rely on it.

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

Republicans, including Senate Minority Leader John Braun, have cheered on the bill for offering tax breaks to middle-class residents.

Democrats are poised to contest the Republican talking points at every turn, emphasizing the cuts to Medicaid, as the two parties ready for next year's midterm elections.

Ohio will get a boost in Medicaid funding, but patients could still lose care or face barriers under a new federal law.

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.

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