The legislation includes work requirements, stricter eligibility checks, citizenship verification and new limits on federal funding for Medicaid to states. It met swift Democratic opposition.

The proposal, which is to be considered this week by a key House panel, omits some of the furthest-reaching reductions to the health program but would leave millions without coverage or facing higher costs.

House Republicans have unveiled the cost-saving centerpiece of President Donald Trump's “big, beautiful bill,” at least $880 billion in cuts largely to Medicaid to help cover the cost of $4.5 trillion in tax breaks. Tallying hundreds of pages, the legislation revealed late Sunday is touching off the biggest political fight over health care since Republicans tried but failed to repeal and replace the Affordable Care Act, or Obamacare, during Trump's first term in 2017. While Republicans insist they are simply rooting out “waste, fraud and abuse” to generate savings with new work and eligibility requirements, Democrats warn that millions of Americans will lose coverage.

House Republicans have unveiled the cost-saving centerpiece of President Donald Trump’s “big, beautiful bill.”.

New Mexico Governor Michelle Lujan Grisham said, "People will die. Children will die," if the Republican plans to cut Medicaid come to fruition.