The bill includes stronger restrictions on Medicaid, which provides health care coverage to over 70 million low-income and disabled Americans, including 1.72 million Coloradans.

Rural hospitals in Arkansas will have to ready themselves for some major changes coming in the next few years that could mean savings for the federal government, but fewer people with health care coverage.

Millions will lose Medicaid coverage, hospitals’ uncompensated work will increase and insurers will lose big business.