The Trump administration is planning sweeping cuts to health care funding across the country.

Some of those federal funding cuts have already taken effect. Others will be rolling out in the next

few years as President Trump's so-called One Big Beautiful Bill Act is implemented. That law will

reduce what the federal government expects to spend on Medicaid by more than $900 billion

over a decade. KFF Health News looked at what that means for states, which will have to shoulder

more of the costs of health programs, and they found they're being forced to make tough choices

about what they can afford. Stephanie Armour is the senior health policy correspondent at

KFF News and joins me now.

Stephanie, first of all, help our viewers understand which of these health cuts have already happened and which ones are coming down the road.

That's actually a really important question because states are grappling with what's already happened.

They've already seen tens of millions of dollars cut. For example,

the Trump administration is clawing back about $11 billion just in funding that was given

to states to help them cope with the pandemic. And a number of states had earmarked those funds

for public health programs and now they're having to cut that. Also,

what's looming is even more troubling for states because it's about almost a trillion dollars

in reduced Medicaid spending is coming in the next, you know, year or two. So right now you're

seeing states grappling not only with the cuts that are happening right now,

but what are they going to do down the line? Your work has really looked at the ups and downs

across the country, and it varies by quite a lot. By your analysis, for example, Texas expects

to lose some $40 billion in Medicaid funding. Delaware's already seen almost 40 million in public health

funds cuts. What do you see as the most painful decisions going on out there right now?

Yeah, I think what's really hard for states right now is they were kind of going through

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