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.

Covered California, the state's Affordable Care Act health insurance marketplace, estimates that up to 660,000 of the 2 million in the program will be stripped of coverage or drop out.

President Donald Trump signed his domestic policy bill into law on July 4, 2025, which sees funding cuts to medicaid and other programs.