Medicaid helps pay for 41% of births in the U.S., according to Kaiser Family Foundation. In rural communities, it covers nearly half. President Trump's new spending bill cuts Medicaid's federal funding and largely leaves it up to the states to decide if and how to supplement care.

The bill introduces a Medicaid work requirement, higher out-of-pocket costs and limits retroactive coverage. It also restricts Medicaid eligibility for some noncitizens, including refugees. U.S. President Donald Trump’s massive tax cut and spending bill could end Medicaid coverage for 310,