President Donald Trump's spending bill is set to raise administrative costs and make managing costs more difficult for insurers like UnitedHealthcare and CVS Health's Aetna that operate Medicaid health plans,

When Michelle Lawrence heard about Medicaid cuts in the Republican tax and spending bill, it felt like “a punch to the gut.”

President Trump's signature tax and spending legislation, the "big beautiful bill," is now law, and that means cuts to Medicaid spending. The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes,