The House approved legislation Thursday that would cut Medicaid spending by nearly $800 billion over the next 10 years, revising President Donald Trump’s so-called “big, beautiful bill” in the final hour to move up the start date for Medicaid work requirements and prohibit Medicaid for gender-affirming care.

The House May 22 passed the fiscal year 2025 budget reconciliation bill, the One Big Beautiful Bill Act by a 215-214 vote. The legislation includes significant impacts to Medicaid and the Health Insurance Marketplaces.

In areas where care access is often already strained, people who are pregnant or giving birth rely on Medicaid coverage at even higher rates.

The most extensive research on Medicaid coverage to date found that it reduced the risk of death by 21 percent.

Gov. Bob Ferguson on Thursday warned that the U.S. Congress’ proposed Medicaid cuts would jeopardize health-care access for nearly 2 million Washington residents.

Congress is proposing significant changes to Medicaid that would reduce government spending on the program by $716 billion. Here is what to know.

The news of Congress passing President Donald Trump’s Tax bill early Thursday morning didn’t sit well with Governor Bob Ferguson.

Hospitals will close, nursing homes will close. That will impact ... not just people who are on Medicaid, but Washingtonians all across our state.”