Refugees. Sex-trafficking victims. People fleeing war. They’re among the hundreds of thousands of immigrants living in the country legally who no longer qualify for Medicaid. The change, in effect since Oct. 1, is part of the 2025 Republican tax law, which cuts Medicaid spending by an estimated $900 billion through 2034.

KFF Health News rural health reporter Andrew Jones joined WAMU’s Health Hub on Oct. 21 to explain which Medicaid enrollees are affected in the Washington, D.C., region and what other cuts to health services for immigrants are next.