President Donald Trump has signed a sweeping spending and tax cut bill that includes substantial cuts to Medicaid, prompting widespread criticism from Democratic lawmakers and healthcare advocates. The legislation reduces Medicaid funding, which is expected to affect approximately 17 million Americans who rely on the program for essential healthcare services. Hospitals and nursing homes across the country, including facilities in Western New York, Michigan, and Nevada, are bracing for the impact of these cuts, which threaten to defund long-term care and mental health services. Critics argue that the Medicaid reductions are intended to finance tax breaks for billionaires, resulting in higher costs for insurers and diminished healthcare access for vulnerable populations. Democratic senators and representatives have condemned the bill as harmful and unnecessary, emphasizing the potential closure of healthcare providers unable to meet rising costs and increased demand. The bill has been described by Senate Democrats as one of the most catastrophic and unpopular in recent U.S. history.