Mayforth says those on Medicaid will be exempt from re-certifying if they are 65 or older, disabled, or have a child under 14. The Big Beautiful Bill also makes changes to who qualifies for SNAP, or the Supplemental Nutrition Assistance Program. It’ll use some of the same recertification as Medicaid.

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

Medicaid cuts from President Trump's "big, beautiful bill" will not take effect until after the midterms. However, there is concern in the GOP over how the megabill will impact the 2026 elections. Punchbowl News co-founder Jake Sherman,