Rural hospitals are sounding the alarm over proposed healthcare cuts in President Donald Trump's sweeping tax-cut and spending package, warning the changes could force them to scale back services or close their doors.

The H.R. 1 bill, dubbed the 'The One Big Beautiful Bill Act' by President Trump, proposes federal spending cuts, primarily targeting Medicaid. This move has sparked intense debate, as it threatens healthcare coverage for millions while paradoxically increasing national debt.

President Donald Trump insisted this week his signature policy bill won’t cut Medicaid—a narrative many Republicans have adopted to counter estimates the GOP’s proposed changes to the program could reduce Medicaid spending nearly $800 billion over the next 10 years with new work requirements and a ban on Medicaid for gender-transition care,