President Donald Trump's spending bill is set to raise administrative costs and make managing costs more difficult for insurers like UnitedHealthcare and CVS Health's Aetna that operate Medicaid health plans,

When Michelle Lawrence heard about Medicaid cuts in the Republican tax and spending bill, it felt like “a punch to the gut.”

A clinic in rural Nebraska has become a political flash point after tying its looming closure to Trump’s law cutting Medicaid.