When reached by Newsweek, White House spokesperson Kush Desai said, "President Trump made a clear pledge: no cuts to Medicaid, Medicare, or Social Security. The One, Big, Beautiful only addresses waste, fraud, and abuse in Medicaid with commonsense reforms like popular work requirements and eligibility verification."

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