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.

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."