Five counties in Northeast Ohio have no hospitals routinely delivering babies, forcing expectant mothers to look elsewhere. As local maternity wards shutter, the distance between county seats and delivery rooms is growing—along with concerns over access to care.

Rural hospitals across the nation are bracing for the financial strain of Medicaid cuts embedded in President Donald Trump’s signature tax and spending bill. This legislation, staunchly supported by GOP lawmakers, threatens to pull billions of dollars from facilities serving some of America’s most vulnerable communities.