Toni Lawson with the Idaho Hospital Association said that roughly $1 trillion in Medicaid funding cuts will impact people who rely on the health insurance programs and rural hospitals in the state.

Florida did not expand Medicaid as most states did, so the impact may be lesser than other places, but reductions loom.

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.

Trump's One Big Beautiful Bill cuts taxes, boosts border security, and reforms Medicaid—now the GOP must win the messaging battle.

The 900-page federal bill is expected to promote private schools at the expense of public ones, reduce student loan options and food assistance, cut into school budgets and heavily tax private university endowments.

Contrary to President Donald Trump’s claim that no one will die as a result of the Republican budget bill, an analysis from the University of Pennsylvania and Yale University estimated that the legislation’s changes to Medicaid and the Affordable Care Act will result in at least 42,

New York Gov. Kathy Hochul and other NY officials spoke in Kingston July 18 to condemn the impacts of the "big beautiful bill" on local residents.

President Donald Trump now has to sell markets and voters on his signature law, the One Big Beautiful Bill Act.