The Big Beautiful Bill slashes up to $880 billion from Medicaid over the next decade, threatening healthcare access for millions. New hurdles—like monthly work reporting, $35 co-pays, and stricter eligibility checks—could push over 10 million people off coverage, especially seniors, low-income families, and people with disabilities.

Though a $50 billion rural healthcare fund aims to soften the blow, it likely falls short. Many rural hospitals depend on Medicaid to survive, and closures could leave entire communities without ERs or basic care—widening America's healthcare gap.