Overview

• Senator Thom Tillis warned the bill could cost North Carolina $32 billion over ten years and was among the few Republicans to oppose it
• The Congressional Budget Office projects nearly 12 million more Americans could be uninsured as new work requirements and tighter enrollment windows take effect
• Analyses identify over 300 rural hospitals at financial risk and critics say the $50 billion relief fund is insufficient to prevent closures
• Supplemental Nutrition Assistance Program benefit reductions amid rising food prices have raised concerns about growing food insecurity in rural communities
• Democrats are launching targeted campaigns in key districts, viewing the legislation’s impacts as an opportunity to regain rural support ahead of the midterms