The bill calls for nearly $1 trillion in cuts to Medicaid, a state and federal health care program that pays for medical procedures and preventative health services for low-income

President Trump signed his one 'big, beautiful bill' on Friday, setting the stage for trillions of dollars worth of tax and spending policy. In North Carolina, the bill is likely to have a big impact on everything from Medicaid expansion and food stamps to the 2026 Senate election and state politics.