The bill, ushered through Congress by Republican leadership and signed by Trump Friday, includes $4.5 trillion in tax cuts, slashes spending on Medicaid, and creates temporary tax deductions for overtime and tipped income. It includes $170 billion for immigrant detention and for new personnel for Immigration and Customs Enforcement.

Twin City Medical Center in Dennison is on the list, along with Coshocton Regional Medical Center and Harrison Community Hospital.

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,

Sen. Josh Hawley (R-Mo.) speaks with NBC News Capitol Hill Correspondent Julie Tsirkin after he voted to pass President Trump’s tax and spending plan despite opposing its sweeping cuts to Medicaid.

President Donald Trump falsely claims the ‘biggest tax cuts ever’ while Democrats add in the impact of a Biden-era policy.

The bill will stress a major funding stream schools rely on, leading to ripple effects that make it harder for schools to offer free meals.

RICHMOND, Va. (WWBT) - Governor Glenn Youngkin is defending President Donald Trump’s newly signed “Big Beautiful Bill,” including the cuts and reforms to both Medicaid and food assistance programs.

Hospital scrubs are a common sight in the leafy Norwood section of the Bronx, where employees, patients and visitors flowed in and out of the buildings on Montefiore Medical Center’s main campus on East 210th Street on a recent morning.

Medicaid work requirements are part of the One Big Beautiful Bill spending law, but Arizona already had its own state work requirements plan.

Florida did not expand Medicaid as most states did, so the impact may be lesser than other places, but reductions loom.