“Mean and cruel” — that’s how U.S. Sen. Catherine Cortez Masto described Medicaid cuts in President Donald Trump’s budget bill after passage in the Senate. She gathered Nevada health care leaders and workers July 2 to talk about how the state would be affected.

The Senate has passed a $4.5 trillion tax cut bill after last-minute changes to its health care provisions, as Republicans scrambled to get their party on board.