Santa Clara County officials fear that Republicans’ “big, beautiful bill” will rip a “seismic tear” in the country’s social safety net as they brace for more than $1 billion in lost federal revenues locally over the next few years.

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

We see this budget for what it is, an extremist road map that takes away what people rely on to survive,” U.S. Rep. Maxwell Frost said at a news conference at the Pan American Behavioral Health

Medicaid is the state's largest health insurer, covering a quarter of Michigan residents. Reform supporters say the changes will eliminate loopholes.

The recent approval of a sweeping tax and spending cut package by Republicans, led by President Trump, has sparked widespread concern. The legislation's $1.2 trillion Medicaid cuts threaten rural healthcare,