Federal cuts to Medicaid passed under President Donald Trump’s signature legislation — dubbed as the “big, beautiful bill” — are raising concerns among Maryland health advocates and policymakers who warn the changes could affect not only low-income residents but also those with private insurance.

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.

President Donald Trump took time out from the 4th July celebrations in the US to sign his One Big, Beautiful Bill Act (OBBBA) into law, shortly after it narrowly cleared a House of Representatives vote.