It also takes aim at Medicaid, the federal and state health program that covered 78.6 million low-income children and adults as of March 2025, according to the Centers for Medicare & Medicaid Services.

The Senate version of the legislation makes even steeper cuts to Medicaid than the $800 billion slashed in the House-passed version of the bill.

Three rural Michigan hospitals are at a “disproportionate risk of closing” due to the effects of the recently signed “Big Beautiful Bill.” At the request of federal lawmakers, researchers in North Carolina identified more than 300 U.