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

Fresh off a bruising fight over passage of President Donald Trump's massive tax and policy bill, Republicans and Democrats are now waging a battle over selling it to Americans. Trump celebrated the passage of the bill during a rally in Iowa on Thursday.

States and rural health advocacy groups are sounding the alarm that Congress’ slashing of Medicaid will devastate already financially fragile rural hospitals. One analysis estimates more than 300 hospitals could be at risk of closing under the Republican measure to slash about $1 trillion in Medicaid funding over ten years.

One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

Congress has signed off on a $3.4 trillion legislative package featuring new tax breaks, spending cuts, and more funding for defense and immigration enforcement, delivering President Donald Trump his “big, beautiful bill” despite rumblings from fiscal hawks about the projected $4 trillion it could add to the national debt over the next decade.

The Congressional Budget Office estimates the Medicaid cuts could leave nearly 12 million Americans uninsured.