Federal cuts to Medicaid passed under President Donald Trump’s signature legislation — dubbed as the “big, beautiful bill” — are raising concerns among Maryland health advocates and policymakers who warn the changes could affect not only low-income residents but also those with private insurance.

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.

But the Trump administration’s own projection is that the giant cuts in Medicaid will result in nobody losing coverage. If true, this would be astonishing, the fiscal equivalent of the immaculate conception.