Senator Josh Hawley struggles to defend his vote for the Big Ugly Bill

Healthcare Policy & Funding - A "big ugly bill" passed, facing criticism for unpopularity and potential Medicaid cuts [1] - Senator Josh Holly defends his vote despite concerns about Medicaid cuts and rural hospital funding [1] - The bill includes a fund for nuclear waste victims, but critics argue it's insufficient compared to healthcare losses and SNAP benefit reductions [2] - Missouri is projected to receive $1 billion in increased rural hospital funds [4] - Provider cuts in Missouri are delayed until the 2030s, with a goal to prevent them entirely through future legislation [4] Political Stance & Strategy - Senator Holly aims to ensure parts of the bill are never implemented, despite voting for it [2] - Senator Holly acknowledges disliking parts of the bill but emphasizes the importance of securing wins, such as healthcare expansion for nuclear waste survivors in Missouri [3] - Senator Holly expresses opposition to cutting rural hospitals, stating his view hasn't changed [5] - Senator Holly is willing to collaborate across the aisle to prevent rural hospital cuts [6]