With B-2s flying overhead during an Independence Day ceremony, President Donald Trump signed the Republicans’ One Big Beautiful Bill Act into law.

Senate Republicans have yet to finalize their version of President Donald Trump’s sweeping domestic policy proposal, but GOP lawmakers up for reelection in 2026 are bracing for the political impact of the bill’s Medicaid cuts.

Justice voted for the megabill last week, despite his concerns over some of its Medicaid provisions — and after warning Republicans “cannot cut into the bone.” Steep cuts, he said, would cost the GOP voters and lead the party to “awaken to [being in the] minority.”

The next midterm elections are scheduled to take place on Tuesday, November 3, 2026. Currently, the Republicans have a narrow majority in both the Senate and House and losing either would make it significantly more difficult to pass President Donald Trump's policy agenda.

The cuts from the federal spending bill will affect millions of Americans, particularly vulnerable populations. But some of those impacts won't be felt for some time.

How proposed Medicaid cuts could impact health care in Oregon . By Amelia Templeton (OPB) ... most key provisions wouldn’t go into effect until after the November 2026 midterm elections.