President Donald Trump told a Georgia crowd that his administration had cut illegal immigrants out of Medicaid and redirected $50 billion toward rural health care, framing both moves as a dramatic reordering of federal health spending.
Trump made the remarks Wednesday at Wheeler High School in Marietta, Georgia. He appeared there to promote Trump Accounts and discuss the administration’s economic record, but the speech ranged widely across taxes, jobs, immigration, crime, and the Republican agenda in Congress.
When he turned to Medicaid and government spending, Trump was direct. “We ended Medicaid for illegal immigrants, and we redirected 50 billion dollars to make the largest investment in rural health in the history of our country,” he told the crowd.
He tied the two actions together as proof that federal health dollars are now flowing to American citizens in underserved communities rather than to people in the country illegally.
As originally reported, the $50 billion Rural Health Transformation Program was created through the Working Families Tax Cuts Act, which Trump signed on July 4th, 2025. According to a White House fact sheet, the program distributes $10 billion per year from 2026 through 2030, with funding allocated across all 50 states. States can use the money to strengthen rural workforces, modernize facilities and technology, and develop health care models suited to smaller patient populations.
Trump also accused Democrats of deliberately starving rural communities of federal investment for political reasons. “They said that’s Trump country. We’re not going to do anything,” he told the Georgia audience, arguing that his administration had reversed that pattern.
“You’re getting hospitals built in areas just like this that the Democrats would never do,” he added, pointing to the rural health program as a direct response to what he described as years of partisan neglect.
Trump connected the rural investment to his own electoral performance, noting his margins in Georgia and across Republican-leaning states. “We got tremendous votes in your whole state. We won in a landslide,” he said, drawing a line between the administration’s rural agenda and the voters who returned him to office.
The White House posted the full address following the event. Trump’s remarks presented the Medicaid restrictions and the rural health funding as paired examples of a broader shift in how his administration allocates taxpayer money.
He closed that section of the speech with a sweeping claim about his second term’s early record, pointing to actions on the border, the economy, and federal spending. “In just 18 months, we’ve turned this country around like nobody’s ever seen before.”