Trump signs One Big Beautiful Bill Act cutting Medicaid through work requirements and per capita

President Trump signs the One Big Beautiful Bill Act into law, implementing Medicaid work requirements for able-bodied adults and per capita funding changes. The law mandates that most able-bodied adult Medicaid enrollees work or volunteer for 80 hours per month to maintain coverage, effective 2027. The Congressional Budget Office estimates the law reduces Medicaid enrollment by millions. Public Citizen will later report that as a result of $1 trillion in projected Medicaid cuts, 446 hospitals across 44 states face closure risk.