States and rural health advocacy groups are sounding the alarm that Congress’ slashing of Medicaid will devastate already financially fragile rural hospitals

A Republican megabill cuts $1 trillion from Medicaid, risking closures for hospitals that serve some of America’s most vulnerable. Rural hospitals in the U.S. already operate on a razor’s edge, but new cuts to Medicaid in the Republican appropriations bill could tip many of them into failure.

Rep. Mark Amodei, a Republican, called President Trump's budget bill a balancing act that reins in excessive Medicaid spending.

One of the chief grievances that congressional Democrats have had against the One Big Beautiful Bill Act is the new work requirements that it imposes on Medicaid and Supplemental Nutrition