The U.S. Senate sent its version of the One Big Beautiful Bill to the U.S. House for final passage, in time to land on President Trump’s desk.

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.