Medicaid changes in Trump's "big, beautiful bill" have been met with a partisan division. The GOP defends the plan as needed reform, while Democrats blast it as a cut to social services.

The GOP's contentious budget bill was approved by the House by the narrowest possible margin last month, and was recently lambasted by former Trump advisor Elon Musk.

Nearly 1.4 million medically fragile, low-income dual Medicare and Medicaid enrollees could find it harder to retain a valuable prescription drug subsidy if the Republican House reconciliation bill becomes law.