States have long used taxes on hospitals and nursing homes to increase federal matching funds. If Republicans end the tactic, red states could feel the most pain.

House Republicans on the Energy and Commerce Committee this week unveiled a plan to cut more than $880 billion to pay for a significant portion of President Trump’s domestic agenda. After

House Republicans unveil $880 billion in health care cuts to fund Trump tax breaks, potentially leaving 8.6 million Americans without coverage

The Congressional Budget Office reviewed the leading proposals from Republicans who are trying to cut the costs of a program that serves roughly 72 million poor and disabled Americans.

Republicans can save $880 billion over 10 years in Medicaid by block-granting the federal portion, providing maximum state flexibility and expanding Medicare Part D to Medicaid.

Johnson said some controversial proposals to slash Medicaid were off the table for the massive Trump agenda bill, while conservatives pressed him on steep spending cuts.

In a closed-door meeting late Tuesday, Speaker Mike Johnson and GOP leaders sought to assuage moderates’ fears about changes to the health safety-net program to help finance their party-line megabill.