President Donald Trump’s “one, big, beautiful bill” appears in trouble in the Senate mainly due to proposed changes to Medicaid.

Hundreds of billions of dollars in Medicaid cuts concern some senators who believe the reductions would cause millions of Americans to lose their coverage and force rural hospitals into bankruptcy, The Hill reported.

Senators have been meeting behind closed doors and with White House officials as they rush to finish up the big bill ahead of the president’s Fourth of July deadline. Much of the package, with tax breaks and bolstered spending on border security, is essentially drafted. But the size and scope of healthcare cuts are among the toughest remaining issues.

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