The U.S. Senate has yet to pass the legislation and tee up a final vote in the House, but before the news breaks in Washington, D.C., Texans may want to understand the impacts coming close to home.

The “Big Beautiful Bill” that Trump muscled through Congress chops Medicaid spending by nearly $1 trillion over the next decade. Out of sheer self-interest, Louisiana might seem a state that would fight to preserve Medicaid.