Donald Trump is back in the White House, the GOP controls Congress, and Republicans have dusted off their 2017 plans to reshape Medicaid.

Speaker Mike Johnson is trying to strike a delicate balance between blue-state Republicans and conservative hard-liners on a sprawling bill for Trump's agenda.

The U.S. Congress should enact steeper work requirements for Medicaid and food aid in a tax cut and spending plan being advanced by Republicans, four senior Trump administration officials said in a New York Times opinion column.

After a 26-and-a-half-hour markup, Republicans on Wednesday advanced the health care section of the GOP’s sweeping tax bill that would slash Medicaid spending by hundreds of billions of dollars.

The divide between Republicans and Democrats over the future of Medicaid was well encapsulated this week by two of Houston's congressional members during an all-night rumble that resulted in one Democrat calling U.

Republicans' proposed Medicaid cuts will cause 8.6 million people to lose health insurance by 2034, an estimate shows. Kentucky Gov. Andy Beshear said it will cost Republicans seats in Congress.

A tax maneuver has been described by officials as a legal workaround used by states to secure inflated Medicaid funds.

Republican lawmakers are calling for work requirements, stricter eligibility verification and some co-pays.