A Republican Congressman sold a Medicaid-related stock before voting for President Donald Trump 's massive tax and spending package, which affects Medicaid.

It also takes aim at Medicaid, the federal and state health program that covered 78.6 million low-income children and adults as of March 2025, according to the Centers for Medicare & Medicaid Services.

From older adults to rural residents and immigrants, here’s who may be hit hardest if Republicans pass their sweeping health reform bill.