County services that rely on revenues from Medicaid are expected to bear the brunt of President Donald Trump's Big, Beautiful Bill, which slashes $1 trillion from the federally-funded health insurance program over the next decade. The legislation is estimated to rip a roughly $1 billion annual hole in the county's budget that could lead to cuts to services across the board. Measure A a five-eights-of-a-cent sales tax increase on the Nov. 4 ballot could soften some of the blow as county officials anticipate it will generate $330 million annually.