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Republican States Grapple with 2026 Budget Shortfalls from Trump Tax Bill

3/29/2026

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Summary

Story summary

Republican-led states face 2026 budget shortfalls worsened by U.S. President Donald Trump’s tax and spending bill.
The bill raises Medicaid and SNAP costs, affecting Idaho and Iowa.
Legislators are considering cuts to child care and disability supports.
In Iowa, lawmakers seek a tax on health maintenance organizations to cover Medicaid shortfalls.
Many Republicans back Trump’s tax policy but question timing and effects amid deficits.

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Story summary

Republican-led states face 2026 budget shortfalls worsened by U.S. President Donald Trump’s tax and spending bill.
The bill raises Medicaid and SNAP costs, affecting Idaho and Iowa.
Legislators are considering cuts to child care and disability supports.
In Iowa, lawmakers seek a tax on health maintenance organizations to cover Medicaid shortfalls.
Many Republicans back Trump’s tax policy but question timing and effects amid deficits.