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.

Federal Medicaid spending reductions in the GOP budget reconciliation bill could have significant effects for seniors across the country, particularly those in long-term care facilities. President Donald Trump has repeatedly promised not to touch Medicare,

Republican Medicaid cuts in the reconciliation bill will undermine dual‐eligible seniors’ Medicare cost coverage and long‑term care support, experts warn.

The recently passed federal budget bill, known officially as H.R. 1 or the “One Big Beautiful Bill” is drawing criticism from Missouri health care leaders and public officials, who warn that the legislation’s deep Medicaid cuts could lead to widespread coverage losses and strain already struggling rural hospitals.

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