When President Donald Trump signed the One Big Beautiful Bill Act into law July 4 in the White House Rose Garden, he sealed the fate of three clinics in the rural Shenandoah Valley.

Augusta Medical Group already was considering whether to consolidate its primary and urgent care network in rural areas of the valley, but the massive tax-cut package — partly paid for with cuts to Medicaid and its reimbursements to health care providers — “made our decision very clear,” said Mary Mannix, president and CEO of Augusta Health and a member of the physician organization’s board of directors. Health-care

Virginia Obamacare premiums set to jump sharply

DAVE RESS Richmond Times-Dispatch

“Make no mistake about it, we have to make changes,” Mannix said in an interview on Monday. “The signing of

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