States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act β a law that will strip safety-net health and food benefits from millions.State governments rely on such companies to design and operate computer systems that assess whether low-income people qualify for Medicaid or food aid through the Supplemental Nutrition Assistance Program, commonly referred to as food stamps. Those state systems have a history of errors that can cut off benefits to eligible people, a KFF Health News investigation showed.These benefits, provided to the poorest Americans, can mean the difference between someone obtaining medical care and having enough to eat β or going without.States are now racing to update their eligibility systems to adhere to President Donald Trump's sweeping tax and domestic spending law. The changes will add red tape and restrictions.β¦