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June 18, 2025 15 mins

Every day this week, we’ll take a look at the ripple effects of the budget reconciliation bill moving through Congress that would enact President Donald Trump’s agenda. Today, we focus on the bill’s impact on health care and social programs. We explain how the Senate’s version of the reconciliation bill cuts Medicaid more aggressively than the House of Representatives’ previous version. Then, we hear from a listener about how the bill’s Medicaid cuts could affect the hospitals they work with, particularly in underserved rural areas. Plus, we answer a listener question about how states would absorb the costs of the bill’s federal funding cuts.


Here’s everything we talked about today:




Got a question for the hosts? Email makemesmart@marketplace.org or leave us a voicemail at 508-U-B-SMART.

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