One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

President Donald Trump signed the massive tax bill on Friday, which marks the biggest cuts to Medicaid ever. President Donald Trump on Friday signed Republicans’ major tax and domestic policy bill into law, setting into motion massive cuts to Medicaid that could remove millions of people from the safety-net insurance coverage.

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.