House committees have been laboring for months to draft the legislation, which Republicans have labeled “THE ONE, BIG, BEAUTIFUL BILL,’’ a nod to Trump himself. Speaker Mike Johnson is pushing to approve the package and send it to the Senate by Memorial Day.

The Jobs and Opportunities for Medicaid Act, adds a 20-hour weekly work or volunteer requirement for Medicaid enrollees starting Jan 1, 2026.

As part of their effort to pass a massive tax, immigration and spending cuts package, House Republicans are eyeing plans to shave billions from the federal budget. Some of those cuts could affect Medicaid and the related Children’s Health Insurance Program.

The tax plan is touching off the biggest political debate over taxes, spending and the nation’s priorities in nearly a decade.

A key Congressional committee pressed ahead Tuesday on a bill that could slash hundreds of billions of dollars in federal spending, potentially leaving millions of Americans without health coverage and complicating state budgeting in Massachusetts and elsewhere.

CMS has issued a proposed rule to close what it describes as a Medicaid tax “loophole” that some states have exploited to increase federal payments while minimizing their state financial contributions.

House Republicans are advancing a budget bill this week that could impose the most significant cuts to Medicaid in U.S. history.