President Donald Trump tore into congressional Democrats during a rally in Des Moines, Iowa, on Thursday night, accusing them of hating the United States after they uniformly opposed his newly passed tax and spending bill.

But health care providers are telling a different story, with one clinic in rural Nebraska blaming its closure on the plans for Medicaid. Community Hospital in Curtis, Nebraska, is closing its doors according to a new report from local TV station KLKN.

For months, more than a dozen Hill Republicans have been sounding the alarm about the steep Medicaid cuts in President Donald Trump’s sprawling agenda package, which is now just hours away from becoming law.