The House passed Senate Republicans’ version of the reconciliation package on Thursday 218-214 in a largely party line vote. Only two Republicans joined Democrats and voted against the bill — Reps. Thomas Massie (R-KY) and Brian Fitzpatrick (R-PA).

A Republican megabill cuts $1 trillion from Medicaid, risking closures for hospitals that serve some of America’s most vulnerable. Rural hospitals in the U.S. already operate on a razor’s edge, but new cuts to Medicaid in the Republican appropriations bill could tip many of them into failure.

In 2017, when President Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors rallied against it. Now, as Trump tries again to scale back Medicaid, they've gone quiet.