When reached by Newsweek, White House spokesperson Kush Desai said, "President Trump made a clear pledge: no cuts to Medicaid, Medicare, or Social Security. The One, Big, Beautiful only addresses waste, fraud, and abuse in Medicaid with commonsense reforms like popular work requirements and eligibility verification."

Major Medicaid cuts in Trump’s tax bill could hit rural voters especially hard -- giving organizers hope the party can make improvements in these areas in the midterms.