President Trump’s 2021 budget proposes massive reductions in Medicare and Medicaid spending, cuts that would be felt most acutely by hospitals and Medicaid beneficiaries. The budget would reduce Medicare and Medicaid spending by hundreds of billions of dollars each over the next decade. Although the Medicaid reforms are largely unspecified, if the administration’s past actions indicate future behavior, they’d likely include cuts to the Affordable Care Act’s expansion population and capping federal payments to states. For more, read Trump vs. Medicaid and the HHS FY2021 Budget in Brief.