Millions of Americans are at risk of losing access to Medicaid under the proposed legislation, which passed the House Energy and Commerce Committee (HECC). Representative Brett Guthrie, a Kentucky Republican and chair of the HECC, insisted that the changes will "strengthen and sustain" Medicaid for the future, calling them "common sense."

House Freedom Caucus members threw some sand in the gears by blocking the reconciliation bill and demanding deeper spending cuts.