Another $50 million would help sustain medical services at rural health clinics and hospitals that often rely heavily on Medicaid spending. Many federal health care changes under Trump’s big bill don’t kick in until 2027 or later, and Democratic legislators in New Mexico acknowledged that their bills are only a temporary bandage. Rural health careTrump’s big bill sets aside $50 billion over five years for rural hospitals, providers and clinics — but that may not offset significant cuts. State Sen. Pat Woods, a Republican from the state’s sparsely populated eastern plains, co-sponsored changes to rural health care grants aimed at shoring up existing health care services at rural clinics and hospitals. State health official have warned that tens of thousands of residents might drop insurance coverage as exchange rates increase in 2026.