Maryland health advocates and policymakers warn that Medicaid changes could affect not only low-income residents but also those with private insurance.

Congress has signed off on a $3.4 trillion legislative package featuring new tax breaks, spending cuts, and more funding for defense and immigration enforcement, delivering President Donald Trump his “big, beautiful bill” despite rumblings from fiscal hawks about the projected $4 trillion it could add to the national debt over the next decade.

The Senate passed President Trump's sweeping spending package, including work requirements for some Medicaid recipients.