The public health provisions in the massive spending package that President Donald Trump signed into law on July 4, 2025[1], will reduce Medicaid spending by more than US$1 trillion[2] over a decade and result in an estimated 11.8 million people losing health insurance coverage[3].
As researchers studying rural health[4] and health policy[5], we anticipate that these reductions in Medicaid spending, along with changes to the...