President Donald Trump signed the $4.5 trillion tax and cuts bill on Friday, which includes cutbacks to Medicaid.

As the United States Senate passed the massive reconciliation bill on Tuesday, local officials’ concerns heightened as Medicaid cuts are just a vote away from being implemented into law. The bill has work requirements and reduction in federal Medicaid spending,

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.

Iowa's U.S. House members — all Republicans — voted Thursday to pass President Donald Trump's $4.5 trillion tax breaks and spending cuts bill, sending it to him to sign before the Fourth of July holiday weekend and just a few hours before Trump was set to speak in Des Moines at an event at the Iowa State Fairgrounds.

Republicans tax bill will cut $1 trillion from Medicaid and Affordable Care Act insurance plans. Nearly 12 million people to lose health insurance.

The nation’s social safety net would face massive changes under a bill headed to President Donald Trump’s desk