Senate-approved budget bill includes major Medicaid cuts, raising concerns that millions could lose coverage and rural hospitals may face closures, despite claims of increased efficiency and tax relief.

The Senate has passed a $4.5 trillion tax cut bill after last-minute changes to its health care provisions, as Republicans scrambled to get their party on board.

President Trump's proposed bill has sparked concerns in Louisiana over potential Medicaid cuts and rural hospital closures, with state leaders divided on its impact.