Senate Republicans are taking Medicaid cuts even further than their House counterparts with legislation that targets hospital payments.

WASHINGTON (AP) — Senate Republicans on Monday proposed deeper Medicaid cuts, including new work requirements for parents of teens, as a way to offset the costs of making President Donald Trump’s tax breaks more permanent in draft legislation unveiled for his “big, beautiful bill.”

Without changes to the GOP's "big, beautiful bill," Sen. Josh Hawley fears "there’s going to be a lot of rural hospitals in Missouri that close."