WASHINGTON — President Donald Trump signed the “ Big, Beautiful Bill ” into law Friday, triggering a countdown to cuts that will impact many Maryland residents in the coming years.

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,

Minnesota state officials warned the bill would cut $500 million a year in reimbursements for hospital and nursing home coverage.