House Republicans are proposing work requirements for Medicaid and are planning to limit states’ use of the lucrative provider tax, which some consider a loophole that allows states to increase federal spending on the program.

The House GOP has released its plan to cut Medicaid spending, with the most significant changes affecting eligibility requirements and how states can finance Medicaid. However, some of the biggest sticking points were left out of the bill,

House Republicans on Sunday night offered the first glimpse of their Medicaid overhaul plan, which is expected to cut billions of dollars to help finance President Donald Trump’s sweeping tax and spending cuts agenda.