The One Big Beautiful Bill Act is on the move in Washington, D.C. Whether the bill is beautiful is, as the saying goes, in the eye of the beholder. But at 1,038 pages and with a price tag of some $3 trillion in new estimated federal debt over the next 10 years,

Recent data published by the AHA shows that rural Americans could have the most to lose if the Senate’s version of the Big Beautiful Bill comes to pass. Around 1.8 million rural Americans could lose Medicaid coverage and the bill could cost rural hospitals an estimated $50.4 billion over 10 years.

Proposed changes have reportedly angered some House Representatives, and differing views on the legislation could make passing Trump's bill difficult.