Big Sandy, in north-central Montana and home to nearly 800 people, is an isolated farming and ranching community about 80 miles from the nearest major town. Aaron Bolton/Montana Public Radio hide caption
Medicaid cuts
Rosie Brown, executive director at East Carroll Community Action Agency in Lake Providence, La., said many people in the area struggle to make ends meet. Medicaid expansion was a lifeline for the town. Now, she said, President Donald Trump's tax and spending bill could snatch it away. Shalina Chatlani/Stateline hide caption
Alessandra Fabrello (left) cares for her son Ysadore Maklakoff. North Carolina Medicaid cuts that went into affect Oct. 1 mean Fabrello will have a pay cut as a family caregiver. Maklakoff qualifies for services he can't get because providers already didn't take Medicaid's low reimbursement rates. Aaron Marco hide caption
States are already cutting Medicaid provider payments. Here's the impact
Is Medicaid healthcare or welfare? Chip Somodevilla/Getty Images hide caption