Experts and advocates warn that it could have dire consequences for Alabama’s tenuous rural healthcare situation.

Some of the bill’s changes go into effect later this year, while others won’t start until after the midterms in 2026.

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

Trump's One Big Beautiful Bill Act created federal work requirements for Medicaid recipients, which amount to 80 hours a month in community engagement activities to maintain eligibility.

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.

Arizonans will see major changes to Medicaid, tax cuts and food stamps after Trump's Big Beautiful Bill passed. The Gaggle dives into the details.

The lengthy spending and tax bill was signed into law by Trump on July 4. Here's when some measures take effect.