The Kentucky Democrat said around 200,000 people in his state are at risk of losing their health care under the bill.

States and rural health advocacy groups are sounding the alarm that Congress’ slashing of Medicaid will devastate already financially fragile rural hospitals.

Timeline aside, Arizona groups that advocate for people with disabilities are bracing for Medicaid cuts to become law. The changes could impact Arizonans who receive services through the state Division of Developmental Disabilities, which is funded in part by federal Medicaid funds.