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

The “Big Beautiful Bill," as Trump has called it, includes a $1 trillion reduction in spending over the next decade for Medicaid, the government insurance program for low-income Americans. Trump signed the bill on July 4.

State officials warn 360,000 elderly, disabled and working poor residents will lose $3.6 billion in Medicaid coverage as cuts take effect.