The “Big Beautiful Bill," as Trump has called it, includes a $1 trillion reduction in spending over the next decade for Medicaid, the government insurance program for low-income Americans. Trump signed the bill on July 4.

Millions will lose Medicaid coverage, hospitals’ uncompensated work will increase and insurers will lose big business.

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. Don Bacon defended Trump's $4 trillion tax bill, arguing its middle-class benefits while addressing GOP concerns over Medicaid cuts and mounting deficit fears.