President Donald Trump signed the first successful rollback of the country’s major health care programs into law on the Fourth of July, and some major changes are expected to be felt in Nevada over time.

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 national partisan divide over the One Big Beautiful Bill Act extends to Stark County's congressional delegation.

Toni Lawson with the Idaho Hospital Association said that roughly $1 trillion in Medicaid funding cuts will impact people who rely on the health insurance programs and rural hospitals in the state.

Lawmakers, trade professionals and professional bettors worry about a new Republican provision that will reduce the deduction for gambling losses.

Trump's One Big Beautiful Bill cuts taxes, boosts border security, and reforms Medicaid—now the GOP must win the messaging battle.

The 900-page federal bill is expected to promote private schools at the expense of public ones, reduce student loan options and food assistance, cut into school budgets and heavily tax private university endowments.

Contrary to President Donald Trump’s claim that no one will die as a result of the Republican budget bill, an analysis from the University of Pennsylvania and Yale University estimated that the legislation’s changes to Medicaid and the Affordable Care Act will result in at least 42,