Impacts of Trump’s ‘Big Beautiful’ Bill on Healthcare and Local Communities

New York State and NYC face significant financial challenges due to the Republican tax and spending bill signed by Trump, which reduces federal aid for Medicaid and food assistance, potentially leading to budget shortfalls and increased pressure on local and state governments to manage social programs and funding. While some officials consider managing existing resources, others call for tax increases to offset the losses, amid concerns about the impact on vulnerable populations and city services.