Medicaid cuts from President Trump's "big, beautiful bill" will not take effect until after the midterms. However, there is concern in the GOP over how the megabill will impact the 2026 elections. Punchbowl News co-founder Jake Sherman,

Louisiana voted for Trump. But it also relies heavily on Medicaid benefits, which are set to face steep cuts under the president's new One Big Beautiful Bill Act.

Senate and House Republicans would each cut Medicaid spending significantly, and there are some differences between the two bills.