Three rural Michigan hospitals are at a “disproportionate risk of closing” due to the effects of the recently signed “Big Beautiful Bill.” At the request of federal lawmakers, researchers in North Carolina identified more than 300 U.

Five rural Alabama hospitals are considered “at risk” of closing, according to a report from a reputable center for health services research. U.S. senators requested a list of the rural hospitals from each state from the center and attached it in a letter to President Donald Trump, among others.

Rural hospitals say they’re being forced to consider tough choices after President Trump signed into law a domestic policy bill that includes cuts to Medicaid and Obamacare.