Bay Area communities are beginning to see how President Trump's recently passed "Big Beautiful Bill" will impact health care and food assistance programs.

President Trump's tax and spending bill sets in motion nearly $1 trillion in cuts to Medicaid and other health policy changes that could loom over the midterm elections. But the real effects likely won't be felt until well after the ballots are cast.

During an event at a Harmar Township nursing home, Rep. Chris Deluzio (D-PA-17) spoke out against the recently signed One Big Beautiful Bill Act.

A provision in the budget reconciliation bill known as the One Big Beautiful Bill that passed in Congress and was signed by President Trump effectively defunds the clinics. The law doesn't specifically name Planned Parenthood, but it bars Medicaid payments to large health care nonprofits that offer abortions.

The reduction in patients who qualify for Medicaid will mean free clinics must fundraise or find other funds to cover costs for care. In addition, some people would lose ACA coverage, causing more people to seek care at free clinics that are already stretched thin.

The Corewell Health CEO sent out an internal memo this week warning staff to prepare for impacts to not only patients but also employees due to Medicaid cuts.