Major Medicaid cuts in Trump’s tax bill could hit rural voters especially hard -- giving organizers hope the party can make improvements in these areas in the midterms.

But public outcry over Medicaid cuts led Republicans to include a provision that will provide $10 billion annually to buttress rural hospitals over the next 5 years, or $50 billion in total. Many rural hospital advocates are wary that it won't be enough to cover the shortfall.

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.