Articles on One Big Beautiful Bill (OBBB)

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Cuts to federal funding for Medicaid will disproportionately affect reimbursements to rural hospitals. Ricky Carioti/The Washington Post via Getty Images

Why rural hospitals in Pennsylvania and across the country are closing in increasing numbers – 5 myths about rural health care

Rural hospitals have high fixed costs, low patient volume and a large portion of patients insured through Medicaid, which typically pays less than private insurers.
New tax policies could change who gives and how much people and corporations donate. sesame/DigitalVision Vectors via Getty Images

Tax changes taking effect in 2026 may boost the number of donors but lead to the US missing out on an estimated $5.7B a year in charitable giving

These changes to how much Americans and US corporations give, if these projections prove accurate, would amount to about 1% of all donations made in 2024.
Federal funding is a key support for programs that provide free food to needy families. Joseph Prezioso/AFP via Getty Images

Why 2026 could see the end of the Farm Bill era of American agriculture policy

Farm bills – famously complex legislative and spending balances between farm subsidies, food assistance, conservation and more – have tended to be passed about every five years since 1933.
There aren’t enough people training to become nurses to meet the rising demands for nurse practitioners and registered nurses. Iconic Prototype/iStock/Getty Images Plus

New federal loan limits will worsen America’s nursing shortage and leave patients waiting longer for care

The 2025 tax and spending law lowers the federal loan borrowing limits for nursing students, raising the up-front costs of nursing school.
About 60% of Iowa’s power comes from wind. Farmers can earn extra cash by leasing small sections of farms for power production. Bill Clark/Getty Images

How wind and solar power help keep America’s farms alive

Rural counties also benefit in jobs, manufacturing and tax revenue that will be hard to replace as the US government slashes support for the industries.
President Donald Trump and Secretary of State Marco Rubio watch Speaker of the House Mike Johnson on television after the House passed the bill on July 3, 2025. Joyce N. Boghosian/White House via AP

How the ‘big, beautiful bill’ will deepen the racial wealth gap – a law scholar explains how it reduces poor families’ ability to afford food and health care

The measure enables broad tax cuts that disproportionately favor wealthy households while forcing its costs on the most economically vulnerable Americans.

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