Column: Requiring work for Medicaid recipients — a provision that killed an effort in 2024 to expand Medicaid in Mississippi — is now law of the land under Trump's so-called "Big Beautiful Bill." Expanding Medicaid could still save lives.

From the Central Valley of California to Midwestern battlegrounds and suburban districts of the northeast, the new law already is shaping the 2026 midterm battle for control of the House of Representatives. The outcome will set the tone for Trump’s final two years in the Oval Office.

We see this budget for what it is, an extremist road map that takes away what people rely on to survive,” U.S. Rep. Maxwell Frost said at a news conference at the Pan American Behavioral Health

Medicaid is the state's largest health insurer, covering a quarter of Michigan residents. Reform supporters say the changes will eliminate loopholes.

The Congressional Budget Office estimated that the House version of the One Big Beautiful Bill Act would reduce Medicaid enrollment and cause millions of people to become uninsured by 2034. It didn’t say that “5 million” of the people who are “going to lose insurance” would have “other insurance” so “they’re still insured,

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.

The Corewell Health CEO sent out an internal memo this week warning staff to prepare for impacts to not only patients but also employees due to Medicaid cuts.

Exactly how cuts to public assistance programs in President Donald Trump’s “One Big Beautiful Bill” will affect Minnesota is yet to be seen, though by one estimate, up to a quarter-million people in the state could lose Medicaid coverage over the next decade.