The Republican speaker’s decision underscored the resistance in his party to politically painful reductions to the program, and drew a backlash from the hard right, which is demanding deep cuts.

WASHINGTON ― Some of Republicans’ top ideas for reducing Medicaid spending would cut enrollment by millions, according to a new report by the Congressional Budget Office. The analysis comes as no surprise but nevertheless could make it harder for House Speaker Mike Johnson (R-La.

The president’s stated opposition to cutting the program has put Republicans laboring to enact his domestic agenda in a bind.

President Donald Trump says House Republicans need to cut spending in his "big, beautiful bill" and all eyes are on Medicaid. Democrats say Republicans can't cut spending on Medicaid without cutting coverage.