President Trump's signature tax and spending legislation, the "big beautiful bill," is now law, and that means cuts to Medicaid spending. The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes,

Virginia’s hospitals are sounding the alarm after President Donald Trump signed his big beautiful bill into law. The latest data from the non-partisan Congressional Budget Office found that about 11.8 million people could lose their health insurance as a result of cuts made to Medicaid and other programs.

But the Trump administration’s own projection is that the giant cuts in Medicaid will result in nobody losing coverage. If true, this would be astonishing, the fiscal equivalent of the immaculate conception.