The giant tax and spending bill President Donald Trump signed into law over the weekend includes the biggest health care spending cuts in U.S. history. In response, states are scrambling

Justice voted for the megabill last week, despite his concerns over some of its Medicaid provisions — and after warning Republicans “cannot cut into the bone.” Steep cuts, he said, would cost the GOP voters and lead the party to “awaken to [being in the] minority.”

Covered California, the state's Affordable Care Act health insurance marketplace, estimates that up to 660,000 of the 2 million in the program will be stripped of coverage or drop out.

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

Minnesota state officials warned the bill would cut $500 million a year in reimbursements for hospital and nursing home coverage.

WASHINGTON — President Donald Trump signed the “ Big, Beautiful Bill ” into law Friday, triggering a countdown to cuts that will impact many Maryland residents in the coming years.