The debate over how many people would lose health insurance under the Republican health care overhaul and its impact on the budget deficit obscures one of the major and most far-reaching effects of the proposal: sweeping changes to Medicaid.
As a candidate, President Trump had promised "no cuts" to Medicaid. The Republicans' American Health Care Act, which Trump supports, would end an expansion of the coverage and restructure funding for it. The bill is the first part of a plan to repeal and replace the Affordable Care Act enacted under President Obama.