What do I tell 663,000 people in two years or three years, when President Trump breaks his promise by pushing them off of Medicaid because the funding is not there anymore?” Tillis said.

The U.S. Senate’s budget proposal backed by Republican President Donald Trump could cause hundreds of thousands of North Carolinians to lose their health insurance — a scenario that could also fuel a new round of rural hospital closures.

U.S. Sen. Thom Tillis says the Senate’s current megabill would effectively end Medicaid expansion in North Carolina — and that’s the main reason he’s opposing the bill.