The nonpartisan Congressional Budget Office estimates President Trump's "big, beautiful bill" will add $3 trillion to the deficit.To pay for that, lawmakers made deep cuts to safety net programs, including Medicaid,

Of the $16.4 billion annual Medicaid costs for Louisiana, state taxpayers kick in about $3 billion, according to the Legislature. The new law would halt some of the tools Louisiana uses to pay that $3 billion, requiring the state to pour in extra money or let some people go without health insurance.

President Donald Trump signed his domestic policy bill into law on July 4, 2025, which sees funding cuts to medicaid and other programs.