Both cited sources were fetched and verified. FactCheck.org is reachable and the quoted sentence appears verbatim: the One Big Beautiful Bill Act (H.R.1), which the article states Trump signed, "will cut Medicaid spending by $911 billion over 10 years... and increase the number of uninsured people in the U.S. by 10 million, with 7.5 million of those due to changes to Medicaid." The Center for Medicare Advocacy page is reachable and all three quoted sentences appear verbatim: Trump signed H.R.1 on July 4, 2025; it "cuts over $1 trillion from health programs – the largest rollback of federal support for health care in American history"; and it triggers automatic cuts "reducing Medicare funding by approximately $500 billion between 2026 and 2034." The promise pledged to protect Social Security, Medicare, and Medicaid "without cuts." Trump named, championed, pressured Congress on, and signed his flagship second-term law, which cuts two of those three programs — this is leading the effort against the promise, i.e. HOSTILE rather than merely MISALIGNED. The sources genuinely document THIS outcome for THIS promise; the outcome is not overstated. The 0.85 confidence correctly reflects mitigating factors visible in the sources themselves: FactCheck notes Trump "has not proposed cutting Social Security or Medicare benefits" directly and describes some Medicare provisions as modifications, Social Security is exempt from PAYGO, and the Medicare sequestration is a trigger Congress has historically waived. But CBO scores the Medicaid reduction as a spending cut removing coverage from millions of eligible people (not fraud reduction), so the dominant enacted outcome runs against the promise. Same bar would yield HOSTILE for either party. Rating upheld.