THE PINCH OF MEDICAID CUTS in President Donald Trump’s “One Big Beautiful Bill” of tax and spending measures will be felt in nursing homes and hospitals in rural and underserved communities, including ones in or near the Bay Area.

Some of the bill’s changes go into effect later this year, while others won’t start until after the midterms in 2026.

The Trump administration's "Big Beautiful Bill" means big changes to student loans. Here's what current and future borrowers need to know

The bill cuts $230 billion from SNAP over the course of 10 years. Sen. Angus King said 32,000 Mainers are expected to lose benefits.

The mega-bill signed by Trump aims to extend tax cuts and increase defense spending, but it risks raising the US deficit by $3.3 trillion. While it benefits manufacturing and defense, cuts to Medicaid and green energy may harm low-income populations and long-term fiscal stability.