One Louisiana hospital leader says it could "jeopardize rural access, medical education, and essential services such as maternity care, children’s services, behavioral health, and access to specialty care for patients across Louisiana.

The House and the Senate face a challenge coming up with a final One Big Beautiful Bill Act that will be able to get enough support in both chambers. The House narrowly passed the tax and spending legislation last month after weeks of at times tense negotiations.

The Republican-backed "One, Big, Beautiful Bill" has made a lot of headlines in recent weeks. The bill, intended to deliver on some of President Donald Trump's major campaign promises, includes things like no taxes on tips or overtime pay as well as new rules limiting some immigrants' access to various types of government aid.