The bill would cut $1.1 trillion in health-care spending and result in 11.8 million people losing health coverage over the next decade, according to estimates.

Hospitals are bracing for the impact from the Medicaid cuts in President Trump’s sweeping spending and tax cut law. While most of the cuts won’t happen immediately, rural facilities in particular say they likely will have to make difficult financial decisions about which services they can afford to keep and which may need