A reduction in the provider tax that funds the state share of Medicaid expansion could spell trouble for hospitals that rely on it.

Trump's "big" bill puts Medicaid on the chopping block. From work requirements to loss of coverage, here are Pittsbughers' concerns.

States must begin verifying millions of Medicaid enrollees' monthly work status by the end of next year — a task some critics say states will have a hard time carrying out. A provision in the tax and spending bill President Donald Trump signed into law July 4 will require the 40 states plus Washington,

The Democratic National Committee is showing where President Trump's bill could hurt people in the state, but the White House points to savings.

Taxpayers will see a number of new credits and deductions when they file their taxes in 2026. Here's when other "big beautiful" bill provisions go into effect.

U.S. Rep. Michael Baumgartner, a Washington Republican who represents the eastern quarter of the state including Spokane, praised the Big Beautiful Bill in a July 3 news release, citing its support for small businesses and border security. He also noted it locks in Trump tax cuts from 2017.

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.