Independently verified. The 2015 promise pledged to preserve all three programs 'without cuts,' carving out only 'fraud, waste and abuse.' Trump's signature record ran against that direction: he championed and signed the One Big Beautiful Bill Act on July 4, 2025 (confirmed by NPR, NBC, White House), which the nonpartisan CBO scores as cutting federal Medicaid/CHIP spending by roughly $1.02 trillion and removing at least 10.5 million people from coverage by 2034 -- far beyond fraud/abuse removal (CBO attributes the largest share to work-reporting requirements and provider-tax limits, which strip coverage from eligible beneficiaries). His first-term budgets also proposed about $2 trillion in reductions across Social Security, Medicare and Medicaid (~$1.4T from Medicaid). Social Security and Medicare direct benefits were left largely intact (and OBBBA added a Social Security tax break), so this is not a total assault warranting HOSTILE. Because he took a deliberate, signature legislative measure directly cutting one of the three programs he promised to save without cuts, MISALIGNED (-0.75) is the correct, party-neutral label -- the same a Democrat with this record would receive. The PolitiFact source rates a partisan 'cut' framing as False on block-grant grounds, but still confirms the underlying ~$2T figure; it is used only to substantiate the proposed reductions, and the rating's phrasing reflects that.