The bill would bring dramatic changes to the Medicaid program, but it also has implications for drug prices, managed care providers, and hospitals.

The House-approved budget bill includes proposals for significant spending cuts to Medicaid and new work requirements.

The House approved legislation Thursday that would cut Medicaid spending by nearly $800 billion over the next 10 years, revising President Donald Trump’s so-called “big, beautiful bill” in the final hour to move up the start date for Medicaid work requirements and prohibit Medicaid for gender-affirming care.

Medicaid has become a key hot button topic in the sweeping tax and spending cuts bill that House Republicans are scrambling to pass as soon as this week.

Republican holdouts appear to have a deal with House GOP leadership to advance President Donald Trump's sweeping tax policy bill. The legislation will be tweaked to move up the implementation of Medicaid work requirements from 2029 to December of 2026;

The House of Representatives is advancing the "One Big Beautiful Bill Act," a comprehensive tax and spending package that includes several provisions directly affecting senior citizens. While the bill offers certain tax benefits for older Americans, it also proposes cuts to programs that many seniors rely on.