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.

Some Democratic leaders and officials believe the combination of tax cuts and potential changes to some Americans' health care coverage could allow the party to recapture the anger and anti-Trump backlash that helped the party reclaim the House in 2018, after Republicans passed their tax package and repeatedly failed to repeal Obamacare.

A Republican Congressman sold a Medicaid-related stock before voting for President Donald Trump 's massive tax and spending package, which affects Medicaid.